Carol A Loeffler, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5201 Issued in OH

Practice address

82 Elm St
Manchester Center, VT 05255-9642

Phone

(802) 867-7035

Fax

(802) 367-1069

NPI assigned

Jun 27, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 8

Other names 1

• Carol A Layman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Katherine Schlageter PSYD PLC

  • Adult Mental Health Clinic/Center
  • Manchester Center, VT
  • NPI 1972312122
  NPD (past)
• Lesley Brodie, M.D., P.C.

  • Adolescent and Children Mental Health Clinic/Center
  • Manchester Center, VT
  • NPI 1114347440
  NPD (past)
• Professional Psychological Services LLC

  • Psychologist
  • Toledo, OH
  • NPI 1467402198
  NPD (past)

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1306842125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 ELM ST",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "052559642",
            "telephone_number": "802-867-7035",
            "fax_number": "802-367-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 ELM ST",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "052559642",
            "telephone_number": "802-867-7035",
            "fax_number": "802-367-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEFFLER",
        "first_name": "CAROL",
        "middle_name": "A",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "5201",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5201",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P620004623",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024899",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE  CHAMPUS",
            "identifier": "281743",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5949417",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT HEALTHCARE",
            "identifier": "03818",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2015796",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "271070000",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC",
            "identifier": "000000325622",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "LAYMAN",
            "middle_name": "A",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• KSV Healthcare LLC (The Pharmacy Northshire)
• Lindsay Marie Lachant, CNM
• Darcey Lawler, RPH
• Chad Allen Lazzari, PSYD
• Lesley Brodie, M.D., P.C.
• Leigh S Lopresti, MD
• Katherine J Lowkes, AU.D.
• Mulu Yacouba Lubula, PHARMD, MBA, MS
• Glen Carlisle Mackenzie, MD
• Christie J Mackson, APRN

• Psychologist in Manchester Center, VT
• Providers in Manchester Center, VT by specialty
• Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.