Active NPI
Cara Corneau, MA
- Clinical Psychologist
- Essex Junction, VT
National Provider Identifier
1770129017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 097.0134463
- Practice address
- 89 Main St
Essex Junction, VT 05452-3207 - Phone
- (802) 777-8583
- NPI assigned
- Nov 21, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 097.0134463 | VT | |
| Clinical Psychologist | 103TC0700X | 097.0134463 | VT | Primary |
Addresses
Primary practice location
89 Main St
Essex Junction, VT 05452-3207
Mailing address
171 Jeff Heights Cir
Jeffersonville, VT 05464-8908
Phone (802) 922-1109
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 |
|---|---|---|---|
| 097.0134463 | VT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574294400000",
"number": "1770129017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 JEFF HEIGHTS CIR",
"city": "JEFFERSONVILLE",
"state": "VT",
"postal_code": "054648908",
"telephone_number": "802-922-1109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 MAIN ST",
"city": "ESSEX JUNCTION",
"state": "VT",
"postal_code": "054523207",
"telephone_number": "802-777-8583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNEAU",
"first_name": "CARA",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-21",
"last_updated": "2019-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "097.0134463",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VT",
"license": "097.0134463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Essex Junction, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.