Individual provider Active NPI

Martha S Stretton, PH.D.

  • Psychologist
  • Chester, VT
National Provider Identifier
1376646208
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
048-0000724 Issued in VT
Practice address
161 Main Street
Chester, VT 05143
Phone
(802) 875-2267
Fax
(802) 875-2267
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 048-0000724 VT Primary

Addresses

Primary practice location

161 Main Street
Chester, VT 05143

Mailing address

PO Box 703
Chester, VT 05143-0703
Phone (802) 875-2267

Other identifiers 5

IdentifierTypeStateIssuer
0608799Y0VT01OtherVTANTHEM BC/BS
73391/41425OtherVTMVP
38964OtherVTBC/BS/MAGELLAN
1006551MedicaidVT
1042114OtherVTCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090730000240 VT Practitioner - Clinical Psychologist 3779636220 Practice locations: Chester, VT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

161 Main St
Chester, VT 05143-9115
Phone (802) 875-2267

PO Box
Suite 703
Chester, VT 05143-0703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
048-0000724VTMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376646208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 703",
            "city": "CHESTER",
            "state": "VT",
            "postal_code": "051430703",
            "telephone_number": "802-875-2267",
            "fax_number": "802-875-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 MAIN STREET",
            "city": "CHESTER",
            "state": "VT",
            "postal_code": "05143",
            "telephone_number": "802-875-2267",
            "fax_number": "802-875-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRETTON",
        "first_name": "MARTHA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VT",
            "license": "048-0000724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "0608799Y0VT01",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "73391/41425",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS/MAGELLAN",
            "identifier": "38964",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006551",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1042114",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, VT

Sources for this page

Verify at the official NPI Registry.