Individual provider Active NPI

Amanda Christina NG, MD

  • Psychiatry Physician
  • South Burlington, VT
National Provider Identifier
1629401104
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
042.0016123 Issued in VT
Practice address
75 San Remo Dr
South Burlington, VT 05403-6385
Phone
(802) 488-6000
Fax
(802) 488-6919
NPI assigned
Aug 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 042.0016123 VT Primary

Addresses

Primary practice location

75 San Remo Dr
South Burlington, VT 05403-6385

Mailing address

102 S Winooski Ave
Burlington, VT 05401-7406
Phone (802) 488-6920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230315000415 VT Practitioner - Psychiatry 4880949452 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Howard Center Inc CurrentSince Mar 1, 2023 Accepting new patients
Howard Center Inc CurrentSince Mar 1, 2023 Accepting new patients
Howard Center Inc Psychiatry PastSince Oct 1, 2023 Accepting new patients

Locations

102 S Winooski Ave
Burlington, VT 05401
Phone (802) 488-6920

300 Flynn Ave
Burlington, VT 05401
Phone (802) 488-6934

208 Flynn Ave
Ste 3J
Burlington, VT 05401
Phone (802) 488-6900

75 San Remo Dr
South Burlington, VT 05403
Phone (802) 488-7350

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1629401104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S WINOOSKI AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054017406",
            "telephone_number": "802-488-6920",
            "fax_number": "802-488-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SAN REMO DR",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036385",
            "telephone_number": "802-488-6000",
            "fax_number": "802-488-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NG",
        "first_name": "AMANDA",
        "middle_name": "CHRISTINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "042.0016123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

Verify at the official NPI Registry.