Active NPI
Elizabeth Cheston Stevenson, M.T.S
- Psychoanalyst
- Waitsfield, VT
National Provider Identifier
1780908160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- 098-0000013
- Practice address
- 1053 Brook Road
Waitsfield, VT 05673-7154 - Phone
- (802) 496-6650
- Fax
- (802) 496-5659
- NPI assigned
- Mar 15, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | 098-0000013 | VT | Primary |
Addresses
Primary practice location
1053 Brook Road
Waitsfield, VT 05673-7154
Mailing address
1053 Brook Road
Waitsfield, VT 05673-7154
Phone (802) 496-6650
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 098-0000013 | VT | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268611200000",
"number": "1780908160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1053 BROOK ROAD",
"city": "WAITSFIELD",
"state": "VT",
"postal_code": "056737154",
"telephone_number": "802-496-6650",
"fax_number": "802-496-5659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1053 BROOK ROAD",
"city": "WAITSFIELD",
"state": "VT",
"postal_code": "056737154",
"telephone_number": "802-496-6650",
"fax_number": "802-496-5659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON",
"first_name": "ELIZABETH",
"middle_name": "CHESTON",
"name_prefix": "Mrs.",
"credential": "M.T.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-15",
"last_updated": "2010-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "VT",
"license": "098-0000013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waitsfield, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.