Active NPI
Barbara Van Drimmelen, PSY.D.
- Clinical Psychologist
- Burlington, VT
National Provider Identifier
1497817324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0000558
- Practice address
- 444 S Union St
Burlington, VT 05401-4859 - Phone
- (802) 985-2202
- NPI assigned
- Dec 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0000558 | VT | Primary |
Addresses
Primary practice location
444 S Union St
Burlington, VT 05401-4859
Mailing address
PO Box 1074
Jericho, VT 05465-1074
Phone (802) 860-2202
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 69187 | Other | VT | BCBS OF VT |
| 90595 | Other | VT | CIGNA BEHAVIORAL HEALTH |
| 057393385 | Other | VT | UBH |
| 1003818 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000558 | VT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335484800000",
"number": "1497817324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1074",
"city": "JERICHO",
"state": "VT",
"postal_code": "054651074",
"telephone_number": "802-860-2202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 S UNION ST",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054014859",
"telephone_number": "802-985-2202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN DRIMMELEN",
"first_name": "BARBARA",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2012-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VT",
"license": "0000558",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF VT",
"identifier": "69187",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "90595",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "057393385",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003818",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.