Organization Active NPI

Vermont Relational Psychology PLLC

  • Clinical Psychologist
  • Shelburne, VT
National Provider Identifier
1336059351
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
VERMONT RELATIONAL PSYCHOLOGY PLLC
Practice address
145 Pine Haven Shores Rd
Shelburne, VT 05482-7703
Phone
(802) 435-6180
NPI assigned
Sep 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
Dr. Emily Blitz, PSYD
Title
President
Phone
(802) 435-6180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

145 Pine Haven Shores Rd
Shelburne, VT 05482-7703

Mailing address

145 Pine Haven Shores Rd Ste 1000-888
Shelburne, VT 05482-7703
Phone (802) 435-6180

NPI Registry JSON

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1336059351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 PINE HAVEN SHORES RD STE 1000-888",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054827703",
            "telephone_number": "802-435-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 PINE HAVEN SHORES RD",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054827703",
            "telephone_number": "802-435-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMONT RELATIONAL PSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "BLITZ",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-435-6180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelburne, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.