Individual provider Active NPI

Joyce A. Walsleben, PH.D

  • Psychologist
  • Burlington, VT
National Provider Identifier
1306834007
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
048.0062817 Issued in VT
Practice address
61 Northshore Dr
Burlington, VT 05408-1262
Phone
(917) 355-6261
NPI assigned
Oct 7, 2005
Last updated
May 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 010838 NY
Psychologist 103T00000X 048.0062817 VT Primary

Addresses

Primary practice location

61 Northshore Dr
Burlington, VT 05408-1262

Mailing address

61 Northshore Dr
Burlington, VT 05408-1262
Phone (917) 355-6261

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
048.0062817VTMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Past Accepting new patients
Sleep Medicine Associates of Nyc, PLLC PastSince Feb 1, 2004 Accepting new patients
Sleep Medicine Associates Past Accepting new patients
New York University Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1306834007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 NORTHSHORE DR",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054081262",
            "telephone_number": "917-355-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 NORTHSHORE DR",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054081262",
            "telephone_number": "917-355-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSLEBEN",
        "first_name": "JOYCE",
        "middle_name": "A.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "010838",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VT",
            "license": "048.0062817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.