Individual provider Active NPI

Dorothy M Loren, PHD

  • Clinical Psychologist
  • South Burlington, VT
National Provider Identifier
1700404050
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
11523 Issued in MA
Practice address
108 Catkin Dr
South Burlington, VT 05403-3002
Phone
(617) 299-6490
NPI assigned
Jul 13, 2020
Last updated
Sep 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Psychologist 103TC0700X 11523 MA Primary

Addresses

Primary practice location

108 Catkin Dr
South Burlington, VT 05403-3002

Mailing address

108 Catkin Dr
South Burlington, VT 05403-3002
Phone (617) 299-6490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MI2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250911001313 TX Practitioner - Clinical Psychologist 2961806419 Reassigns benefits to 1 organization
I20250913000315 MI Practitioner - Clinical Psychologist 2961806419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1315 S Adams St
Fort Worth, TX 76104-4404

9500 Bryn Mawr Ave
Suite 300
Rosemont, IL 60018-5218

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11523MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Telehealth Physician Network, PLLC CurrentSince Dec 8, 2025 Accepting new patients
Telehealth Physician Network, PLLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

2900 West Rd
Ste 500
East Lansing, MI 48823
Phone (212) 803-9949

1315 S Adams St
Fort Worth, TX 76104
Phone (570) 204-6048

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1700404050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 CATKIN DR",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054033002",
            "telephone_number": "617-299-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CATKIN DR",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054033002",
            "telephone_number": "617-299-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOREN",
        "first_name": "DOROTHY",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "11523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

Verify at the official NPI Registry.