Samantha Barr, PSY.D.
Individual provider Active NPI Specialist · Williston, VT
NPI 1669501045 · NPPES record last updated Jul 26, 2016
Key facts
- NPI
- 1669501045
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 0480000926 (VT)
- Practice address
- 183 Talcott Rd
Suite 206
Williston, VT 05495-2089 - Phone
- (802) 881-6195
- NPI assigned
- Mar 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
183 Talcott Rd
Suite 206
Williston, VT 05495-2075
Phone (802) 881-6195
PO Box
Suite 953
Richmond, VT 05477-0953
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110509000083 | VT | Practitioner - Clinical Psychologist | 5597940585 | Practice locations: Williston, VT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0480000926 | VT | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0480000926 | VT | Yes |
Addresses
Primary practice location
183 Talcott Rd
Suite 206
Williston, VT 05495-2089
Mailing address
PO Box 953
Richmond, VT 05477-0953
Phone (802) 881-6195
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11883762 | Other | VT | CAQH |
| 1015547 | Medicaid | VT |
Other providers in Williston, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2016. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.