Active NPI
Richard Allen Witte, PHD
- Clinical Psychologist
- Burlington, VT
National Provider Identifier
1598781247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- VT644
- Practice address
- 444 S Union St
Burlington, VT 05401-4859 - Phone
- (802) 658-2455
- Fax
- (802) 658-2455
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- 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 | VT644 | VT | Primary |
Addresses
Primary practice location
444 S Union St
Burlington, VT 05401-4859
Mailing address
444 S Union St
Burlington, VT 05401-4859
Phone (802) 658-2455
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105560 | Medicaid | VT | |
| 28855 | Other | VT | BCBS |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VT644 | VT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598781247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 S UNION ST",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054014859",
"telephone_number": "802-658-2455",
"fax_number": "802-658-2455"
},
{
"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": "802-658-2455",
"fax_number": "802-658-2455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITTE",
"first_name": "RICHARD",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VT",
"license": "VT644",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105560",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "28855",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.