NPIMap

Organization Active NPI

The Adams Center for Mind & Body LLC

  • Psychologist
  • South Burlington, VT
National Provider Identifier
1326127366
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0470000633 Issued in VT
Legal business name
THE ADAMS CENTER FOR MIND & BODY LLC
Practice address
1233 Shelburne Rd Ste D2
Pierson House D2
South Burlington, VT 05403-7753
Phone
(802) 859-1577
Fax
(802) 859-1571
NPI assigned
Nov 2, 2006
Last updated
Sep 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Suzanne AdamsNPI 1215153903
Title
Clinical Director/Owner
Phone
(802) 859-1577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 0470000633 VT Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X

Addresses

Primary practice location

1233 Shelburne Rd Ste D2
Pierson House D2
South Burlington, VT 05403-7753

Mailing address

1233 Shelburne Rd Ste D2
Pierson House D2
South Burlington, VT 05403-7753
Phone (802) 859-1577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190125000567 VT Part B Supplier - Clinic/Group Practice 4284971458 Receives reassigned benefits from 8 practitioners
1 other NPI on this enrollment
Practice locations: South Burlington, VT

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
The Adams Center for Mind Body LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1233 Shelburne Rd
#0
South Burlington, VT 05403

1233 Shelburne Rd
Ste D2
South Burlington, VT 05403
Phone (802) 859-1577

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1326127366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 SHELBURNE RD STE D2",
            "address_2": "PIERSON HOUSE D2",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037753",
            "telephone_number": "802-859-1577",
            "fax_number": "802-859-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 SHELBURNE RD STE D2",
            "address_2": "PIERSON HOUSE D2",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037753",
            "telephone_number": "802-859-1577",
            "fax_number": "802-859-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ADAMS CENTER FOR MIND & BODY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "802-859-1577"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "VT",
            "license": "0470000633",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.