Green Mountain Psychology PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GREEN MOUNTAIN PSYCHOLOGY PLLC

Practice address

29 Union Street
The Granary, First Floor
Brandon, VT 05733

Phone

(802) 989-1274

NPI assigned

Jul 13, 2020

Organization subpart

No

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

Authorized official

Name

Elizabeth DC Taylor, MS

Title

Owner Psychologist

Phone

(802) 989-1274

Specialties & licenses 2

Addresses

Other names 1

• Green Mountain Psychology PLLC Other name

Locations

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1336767755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CASE ST",
            "city": "BRANDON",
            "state": "VT",
            "postal_code": "057331169",
            "telephone_number": "802-989-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 UNION STREET",
            "address_2": "THE GRANARY, FIRST FLOOR",
            "city": "BRANDON",
            "state": "VT",
            "postal_code": "05733",
            "telephone_number": "802-989-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN MOUNTAIN PSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "DC",
        "authorized_official_title_or_position": "OWNER PSYCHOLOGIST",
        "authorized_official_telephone_number": "802-989-1274",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Mountain Psychology PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carol Ellen Fjeld, CCC-SP
• George C Fjeld, MD
• Rhonda June Foley, LMHC, LPC, NCC
• Charles L Foster, DC
• Sarah Graham, OTR
• Parker Hack, DC
• John Humphreys, L.M.T.
• Nykia Hunter
• Ida'S House of Vermont Professional Limited Liability Company
• Mallory Anne Ketcham, PHARMD

• All providers in Brandon, VT
• Mental Health Clinic/Center (Including Community Mental Health Center) in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.