Lindsay Pokorak
Individual provider Active NPI School Psychologist · Waterbury Center, VT
NPI 1376289686 · NPPES record last updated Mar 21, 2023
Key facts
- NPI
- 1376289686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 1140417 (NY)
- Practice address
- 646 Maple St Apt 1
Waterbury Center, VT 05677-7151 - Phone
- (607) 242-7420
- NPI assigned
- May 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1140417 | NY | MD | School Psychologist |
| 8043311 | VT | MD | School Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 8043311 | VT | |
| School Psychologist | 103TS0200X | 1140417 | NY | Yes |
Addresses
Primary practice location
646 Maple St Apt 1
Waterbury Center, VT 05677-7151
Mailing address
646 Maple St
Waterbury Center, VT 05677-7151
Phone (607) 242-7420
Other providers in Waterbury Center, VT
- Susan Pam Mason
- Jay Mireault
- Katherine E Myerson
- Linnae O'Neil
- Orthopedic Solutions Vermont LLC
- Ilana Scharoun
- Thomas Scribner
- Tracy Sweeney
- Waterbury Ambulance Service, Inc.
- Michael Anthony Zacharias
All providers in Waterbury Center, VT · School Psychologist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.