Active NPI
Nash Psychological Services, LLC
- Clinical Psychologist
- Williston, VT
National Provider Identifier
1578960753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- NASH PSYCHOLOGICAL SERVICES, LLC
- Practice address
- 277 Blair Park Rd
Suite 210
Williston, VT 05495-7886 - Phone
- (802) 598-3636
- Fax
- (802) 316-4208
- NPI assigned
- Dec 3, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Pamela Guiduli Nash, PSYD
- Title
- Owner
- Phone
- (802) 598-3636
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
277 Blair Park Rd
Suite 210
Williston, VT 05495-7886
Mailing address
277 Blair Park Rd
Suite 210
Williston, VT 05495-7886
Phone (802) 598-3636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
277 Blair Park Rd
#210
Williston, VT 05495
Phone (802) 598-3636
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Williston, VT
- NPI 1538563317
-
- Orthopedic Physical Therapist
- Burlington, VT
- NPI 1609818376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1417564800000",
"number": "1578960753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "277 BLAIR PARK RD",
"address_2": "SUITE 210",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054957886",
"telephone_number": "802-598-3636",
"fax_number": "802-316-4208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 BLAIR PARK RD",
"address_2": "SUITE 210",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054957886",
"telephone_number": "802-598-3636",
"fax_number": "802-316-4208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NASH PSYCHOLOGICAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-03",
"last_updated": "2014-12-03",
"status": "A",
"authorized_official_last_name": "NASH",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "GUIDULI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "802-598-3636",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williston, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.