Vermont Psychological Services: Leitenberg Center for Evidence-Based P
Organization Active NPI Clinical Psychologist · Burlington, VT
NPI 1598837593 · NPPES record last updated Feb 3, 2017
Key facts
- NPI
- 1598837593
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Legal business name
- VERMONT PSYCHOLOGICAL SERVICES: LEITENBERG CENTER FOR EVIDENCE-BASED P
- Practice address
- 2 Colchester Avenue
Burlington, VT 05405-1764 - Phone
- (802) 656-2661
- Fax
- (802) 656-3485
- NPI assigned
- Nov 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Kathleen B. Kennedy, PH.D.
- Title
- Acting Director
- Phone
- (802) 656-2661
Practitioners 45
-
Lauren Michelle Dewey, PH.D.
-
Lee Daniel Rosen, PHD
-
Antonio Cepeda-Benito, PH.D.
-
Chelsea Day, LICSW
-
Isabel V Glass, BA
-
Amy Hughes Lansing, PHD
-
Martin Olaf Seehuus, PH.D.
-
Sarah Budney Stanger, PHD
-
Shari Alaina Steinman Haxel, PH.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050411000605 | VT | Part B Supplier - Clinic/Group Practice | 0244277333 |
Receives reassigned benefits from 2 practitioners Practice locations: Burlington, VT |
National Provider Directory
Locations
2 Colchester Ave
Burlington, VT 05405
Phone (802) 656-2661
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | Yes |
Addresses
Primary practice location
2 Colchester Avenue
Burlington, VT 05405-1764
Mailing address
2 Colchester Avenue
Burlington, VT 05405-1764
Phone (802) 656-2661
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2820 | Other | VT | BCBS OF VT |
| 2820 | Other | VT | BCBS |
| 0002820 | Medicaid | VT |
Other names
- Behavior Therapy & Psychotherapy Center Inc
Other providers in Burlington, VT
- Vermont Family Pharmacy Inc
- Vermont Natural Family Medicine, PLC
- Vermont Neuropsychology LLC
- Vermont Pain Relief, LLC
- Vermont Psychiatry, LLC
- Vermont Wellness Collaborative Inc
- Christina Vetter Raisanen
- Bruce A. Viani
- Colleen Victor
- Lorren J Vidana
All providers in Burlington, VT · Clinical Psychologist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.