Active NPI
Joanna Eleanor Strong Kinnaman, PH.D.
- Clinical Psychologist
- South Burlington, VT
National Provider Identifier
1760517825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 048-0000901
- Practice address
- 56 Twin Oaks Ter
Suite 6
South Burlington, VT 05403-7167 - Phone
- (802) 847-3333
- NPI assigned
- Feb 22, 2007
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 048-0000901 | VT | Primary |
Addresses
Primary practice location
56 Twin Oaks Ter
Suite 6
South Burlington, VT 05403-7167
Mailing address
219 Martindale Rd
Shelburne, VT 05482-6711
Phone (802) 985-5232
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048-0000901 | VT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760517825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 MARTINDALE RD",
"city": "SHELBURNE",
"state": "VT",
"postal_code": "054826711",
"telephone_number": "802-985-5232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 TWIN OAKS TER",
"address_2": "SUITE 6",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054037167",
"telephone_number": "802-847-3333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRONG KINNAMAN",
"first_name": "JOANNA",
"middle_name": "ELEANOR",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VT",
"license": "048-0000901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.