Dr. Shirley Oxidine, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

DR. SHIRLEY OXIDINE, PLLC

Practice address

10 Merchants Row
Suite 215
Middlebury, VT 05753-1421

Phone

(802) 388-3202

Fax

(802) 654-7601

NPI assigned

Oct 26, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Shirley Oxidine, PSY.D.

Title

President

Phone

(802) 388-3202

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Josephine M Corcoran, LCMHC

  • Mental Health Counselor
  • Winooski, VT
  • NPI 1033482914
  NPD (past)
• Jenny Sue Cunningham, LCMHC

  • Mental Health Counselor
  • Winooski, VT
  • NPI 1295894459
  NPD (past)
• Tara Graham, LICSW

  • Clinical Social Worker
  • Winooski, VT
  • NPI 1548478035
  NPD (past)
• Katherine Hudspeth Maynard, MS

  • Addiction (Substance Use Disorder) Counselor
  • Winooski, VT
  • NPI 1184775694
  NPD (past)

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1508192584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057530051",
            "telephone_number": "802-388-3202",
            "fax_number": "802-654-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MERCHANTS ROW",
            "address_2": "SUITE 215",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531421",
            "telephone_number": "802-388-3202",
            "fax_number": "802-654-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SHIRLEY OXIDINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-26",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "OXIDINE",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-388-3202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST",
            "identifier": "048-000838",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010656",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tobias Doherty
• Michael Donnachie
• Kate Elizabeth Donovan, APRN, CNM
• Thomas Matthew Donovan
• Robert H Doran
• Stevie Drake-Scudder
• Lesley L Dunakin
• Julie Dunbar, PT
• Georgia Dune
• Emily Dunham

• Psychologist in Middlebury, VT
• Providers in Middlebury, VT by specialty
• Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.