Active NPI
Roger Marum
- Psychologist
- North Ferrisburgh, VT
National Provider Identifier
1629301064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0000898
- Practice address
- 296 Highland Way
North Ferrisburgh, VT 05473-4061 - Phone
- (802) 425-4206
- Fax
- (802) 425-4206
- NPI assigned
- Sep 17, 2009
- Last updated
- Sep 17, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0000898 | VT | Primary |
Addresses
Primary practice location
296 Highland Way
North Ferrisburgh, VT 05473-4061
Mailing address
296 Highland Way
North Ferrisburgh, VT 05473-4061
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000898 | VT | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253145600000",
"number": "1629301064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "296 HIGHLAND WAY",
"city": "NORTH FERRISBURGH",
"state": "VT",
"postal_code": "054734061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "296 HIGHLAND WAY",
"city": "NORTH FERRISBURGH",
"state": "VT",
"postal_code": "054734061",
"telephone_number": "802-425-4206",
"fax_number": "802-425-4206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARUM",
"first_name": "ROGER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-17",
"last_updated": "2009-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VT",
"license": "0000898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Ferrisburgh, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.