Active NPI
Kay Elizabeth Barrett
- Clinical Psychologist
- Berlin, VT
National Provider Identifier
1285759530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 047-0000693
- Practice address
- 130 Fisher Rd
Suite 1-6
Berlin, VT 05602-9516 - Phone
- (802) 253-7338
- NPI assigned
- Mar 19, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 047-0000693 | VT | Primary |
Addresses
Primary practice location
130 Fisher Rd
Suite 1-6
Berlin, VT 05602-9516
Mailing address
1965 Mountain Rd
Stowe, VT 05672-4769
Phone (802) 253-7338
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2856184 | Other | VT | CIGNA |
| 1007534 | Medicaid | VT | |
| 698761 | Other | VT | MVP |
| 58065 | Other | VT | MAGELLAN HEALTH CARE BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047-0000693 | VT | MD | Clinical Psychologist |
Interoperability endpoints
- kbarrett49733@direct.uvmhealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285759530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1965 MOUNTAIN RD",
"city": "STOWE",
"state": "VT",
"postal_code": "056724769",
"telephone_number": "802-253-7338",
"fax_number": "802-253-4217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 FISHER RD",
"address_2": "SUITE 1-6",
"city": "BERLIN",
"state": "VT",
"postal_code": "056029516",
"telephone_number": "802-253-7338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRETT",
"first_name": "KAY",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VT",
"license": "047-0000693",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2856184",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007534",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "698761",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN HEALTH CARE BCBS",
"identifier": "58065",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berlin, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.