Active NPI
Kristen Munson, PSY.D.
- Clinical Psychologist
- Bennington, VT
National Provider Identifier
1407185788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 048-0077088
- Practice address
- 160 Benmont Ave
Suite 20
Bennington, VT 05201-1873 - Phone
- (802) 442-3520
- NPI assigned
- Dec 15, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 048-0077088 | VT | |
| Clinical Psychologist | 103TC0700X | 048-0077088 | VT | Primary |
Addresses
Primary practice location
160 Benmont Ave
Suite 20
Bennington, VT 05201-1873
Mailing address
160 Benmont Ave
Suite 20
Bennington, VT 05201-1873
Phone (802) 442-3520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1019679 | Medicaid | VT |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110803000877 | VT | Practitioner - Clinical Psychologist | 9234308412 | Practice locations: Bennington, VT |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
160 Benmont Ave
Bennington, VT 05201-1842
Phone (802) 442-3520
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048-0077088 | VT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357516800000",
"number": "1407185788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 BENMONT AVE",
"address_2": "SUITE 20",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "052011873",
"telephone_number": "802-442-3520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 BENMONT AVE",
"address_2": "SUITE 20",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "052011873",
"telephone_number": "802-442-3520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNSON",
"first_name": "KRISTEN",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-15",
"last_updated": "2013-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VT",
"license": "048-0077088",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VT",
"license": "048-0077088",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1019679",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bennington, VT
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- Anne R Most, LICSW
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- Allison Morse Murphy, NURSE PRACTITIONER
- Cynthia Ann Murphy, PSY.D., MBA
- Nancy Scattergood Donavan MD
- Natural Health Family Practice
- Trevor Carl Neal, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.