Individual provider Active NPI

Amy Paysnick, PHD

  • Clinical Psychologist
  • South Burlington, VT
National Provider Identifier
1497172704
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
48.011981 Issued in VT
Practice address
56 W Twin Oaks Ter Ste 5
South Burlington, VT 05403-7138
Phone
(802) 880-3001
NPI assigned
Mar 25, 2014
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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 48.011981 VT Primary

Addresses

Primary practice location

56 W Twin Oaks Ter Ste 5
South Burlington, VT 05403-7138

Mailing address

9 Cranwell Ave
South Burlington, VT 05403-7356

Other practice location 1

12 Pearl St
Essex Junction, VT 05452-3604
Phone (555) 555-5555

Other practice location 2

9 Cranwell Ave
S Burlington, VT 05403-7356
Phone (413) 335-3354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 8, 2022 through Dec 8, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
48.011981VTMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1497172704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CRANWELL AVE",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 W TWIN OAKS TER STE 5",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037138",
            "telephone_number": "802-880-3001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Pearl St",
            "address_purpose": "LOCATION",
            "city": "Essex Junction",
            "state": "VT",
            "postal_code": "054523604",
            "country_code": "US",
            "telephone_number": "555-555-5555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Cranwell Ave",
            "address_purpose": "LOCATION",
            "city": "S Burlington",
            "state": "VT",
            "postal_code": "054037356",
            "country_code": "US",
            "telephone_number": "413-335-3354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYSNICK",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "48.011981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

Verify at the official NPI Registry.