Sue Shaffer PHD LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SUE SHAFFER PHD LLC

Doing business as

SUE SHAFFER PHD LLC

Practice address

3 Main St Ste 108
Burlington, VT 05401-5216

Phone

(802) 582-6750

NPI assigned

Jul 18, 2022

Organization subpart

No

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

Authorized official

Name

Susan Deborah Shaffer, PHD, LCMHC

Title

Owner

Phone

(802) 582-6750

Specialties & licenses 1

Addresses

Other names 1

• SUE SHAFFER PHD LLC Doing business as

Locations

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1477288280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MAIN ST STE 108",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015216",
            "telephone_number": "802-582-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MAIN ST STE 108",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015216",
            "telephone_number": "802-582-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUE SHAFFER PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-582-6750",
        "authorized_official_credential": "PHD, LCMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUE SHAFFER PHD LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keryna Stutts, MA
• Michael Jeffrey Stutzman, M.D.
• Julie Minette Suarez Cormier, LICAC, MAOM
• Carolyn M Subin, LCSWR
• Dora Sudarsky, O.D.
• Mark Sueyoshi
• Lauren Suggs, M.D.
• Nathaniel Isaac Sugiyama, M.D.
• Alison Sullivan
• Chance Sullivan, MD

• Community/Behavioral Health Agency in Burlington, VT
• Providers in Burlington, VT by specialty
• Community/Behavioral Health Agency in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.