Active NPI
Mary Cleary Lewis, M.A., CERT. PSYA.
- Psychoanalyst
- Bellows Falls, VT
National Provider Identifier
1659635035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- 098.0072215
- Practice address
- 20 Church St
Bellows Falls, VT 05101-1515 - Phone
- (802) 236-3389
- NPI assigned
- Jun 29, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | 098.0072215 | VT | Primary |
Addresses
Primary practice location
20 Church St
Bellows Falls, VT 05101-1515
Mailing address
PO Box 602
Manchester Center, VT 05255-0602
Phone (802) 236-3389
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 098.0072215 | VT | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340928000000",
"number": "1659635035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602",
"city": "MANCHESTER CENTER",
"state": "VT",
"postal_code": "052550602",
"telephone_number": "802-236-3389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 CHURCH ST",
"city": "BELLOWS FALLS",
"state": "VT",
"postal_code": "051011515",
"telephone_number": "802-236-3389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "MARY CLEARY",
"name_prefix": "Mrs.",
"credential": "M.A., CERT. PSYA.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-29",
"last_updated": "2012-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "VT",
"license": "098.0072215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellows Falls, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.