Kate Jessamyn Longmaid, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

048-0000630 Issued in VT

Practice address

110 Main St
4TH Floor, Suite 4B
Burlington, VT 05401-8451

Phone

(802) 651-7535

NPI assigned

Feb 6, 2006

Last updated

Oct 11, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2019 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381449600000",
    "number": "1609848324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MAIN ST",
            "address_2": "4TH FLOOR, SUITE 4B",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018451",
            "telephone_number": "802-651-7535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAIN ST",
            "address_2": "4TH FLOOR, SUITE 4B",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018451",
            "telephone_number": "802-651-7535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGMAID",
        "first_name": "KATE",
        "middle_name": "JESSAMYN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2013-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "048-0000630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN1205",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "VN1205",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Logan
• S. Scott Lollis, MD
• Sarah J Lomas, MD
• Lonestar Mental Health
• Jennifer Long
• Ivyrose Marie Lopez, CPM
• Miranda Paige Lopez, MS, RDN, CDN
• Savannah Lord
• Samuel Loren, MD
• Lisa Lorenz, LCPC

• Clinical Psychologist in Burlington, VT
• Providers in Burlington, VT by specialty
• Clinical Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.