Active NPI
Robin Lessoff, M.D.
- Child & Adolescent Psychiatry Physician
- Burlington, VT
National Provider Identifier
1366561904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 042-0009845
- Practice address
- 3 Main St Ste 107
Burlington, VT 05401-5216 - Phone
- (802) 651-7735
- Fax
- (802) 540-0778
- NPI assigned
- Mar 28, 2007
- Last updated
- Feb 24, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 042-0009845 | VT | Primary |
Addresses
Primary practice location
3 Main St Ste 107
Burlington, VT 05401-5216
Mailing address
3 Main St Ste 107
Burlington, VT 05401-5216
Phone (802) 651-7735
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007656 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Vermont College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3 Main St
Suite 107
Burlington, VT 05401-5216
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0009845 | VT | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erin Roland, PH.D., PLC | Current | Accepting new patients |
Locations
3 Main St
Ste 107
Burlington, VT 05401
Phone (802) 540-8140
Organizations & group practices 1
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.
-
- Adult Mental Health Clinic/Center
- Burlington, VT
- NPI 1164816310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614124800000",
"number": "1366561904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 MAIN ST STE 107",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054015216",
"telephone_number": "802-651-7735",
"fax_number": "802-540-0778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 MAIN ST STE 107",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054015216",
"telephone_number": "802-651-7735",
"fax_number": "802-540-0778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESSOFF",
"first_name": "ROBIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2021-02-24",
"certification_date": "2021-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "VT",
"license": "042-0009845",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007656",
"state": "VT"
}
],
"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 Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.