Organization Active NPI

Tamarack Integrative Psychiatry PLLC

Doing business as Tamarack Psychiatry

  • Psychiatry Physician
  • Shelburne, VT
National Provider Identifier
1568184992
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
TAMARACK INTEGRATIVE PSYCHIATRY PLLC
Doing business as
Tamarack Psychiatry
Practice address
928 Fall Rd
Suite 1
Shelburne, VT 05482
Phone
(802) 404-5140
NPI assigned
Sep 13, 2022
Last updated
Sep 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Authorized official

Name
Dr. Suzan Riggsbee White, DONPI 1871808287
Title
Manager
Phone
(802) 404-5140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

928 Fall Rd
Suite 1
Shelburne, VT 05482

Mailing address

5 Tamarack Rd
Charlotte, VT 05445-9629
Phone (413) 212-4143

Other names 1

  • Tamarack Psychiatry Doing business as

National Provider Directory

National Provider Directory

Locations

928 Falls Rd
#1
Shelburne, VT 05482
Phone (802) 404-5140

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1568184992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 TAMARACK RD",
            "city": "CHARLOTTE",
            "state": "VT",
            "postal_code": "054459629",
            "telephone_number": "413-212-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 FALL RD",
            "address_2": "SUITE 1",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "05482",
            "telephone_number": "802-404-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMARACK INTEGRATIVE PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "SUZAN",
        "authorized_official_middle_name": "RIGGSBEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "802-404-5140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tamarack Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelburne, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.