Individual provider Active NPI

Linda Vieth Rosenblad, PH.D.

  • Clinical Psychologist
  • Shelburne, VT
National Provider Identifier
1477535219
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
048-0000815 Issued in VT
Practice address
5224 Shelburne Rd
Shelburne, VT 05482-6621
Phone
(802) 598-9265
NPI assigned
Nov 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 048-0000815 VT Primary

Addresses

Primary practice location

5224 Shelburne Rd
Shelburne, VT 05482-6621

Mailing address

PO Box 772
Shelburne, VT 05482-0772
Phone (802) 598-9265

Other identifiers 1

IdentifierTypeStateIssuer
1009437MedicaidVT

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
I20040806000530 VT Practitioner - Clinical Psychologist 5698747160 Practice locations: Shelburne, VT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

928 Falls Rd
Shelburne, VT 05482-6213
Phone (802) 985-1001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
048-0000815VTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ambulatory Anesthesia of Vermont, PLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477535219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054820772",
            "telephone_number": "802-598-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5224 SHELBURNE RD",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054826621",
            "telephone_number": "802-598-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLAD",
        "first_name": "LINDA",
        "middle_name": "VIETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "048-0000815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009437",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelburne, VT

Sources for this page

Verify at the official NPI Registry.