Organization Active NPI

Sam Piotrowski, M.a., PLC

  • Clinical Psychologist
  • Burlington, VT
National Provider Identifier
1790155075
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
047.0100524 Issued in VT
Legal business name
SAM PIOTROWSKI, M.A., PLC
Practice address
168 Battery St
Burlington, VT 05401-5285
Phone
(802) 598-7298
NPI assigned
Sep 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Sam Michael Piotrowski, M.A.NPI 1104234756
Title
Licensed Psychologist - Master
Phone
(802) 777-8407

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 047.0100524 VT Primary

Addresses

Primary practice location

168 Battery St
Burlington, VT 05401-5285

Mailing address

168 Battery St
Burlington, VT 05401-5285
Phone (802) 598-7298

Other identifiers 1

IdentifierTypeStateIssuer
1023943MedicaidVT

National Provider Directory

National Provider Directory

Locations

168 Battery St
Burlington, VT 05401
Phone (802) 862-3373

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1790155075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 BATTERY ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015285",
            "telephone_number": "802-598-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 BATTERY ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015285",
            "telephone_number": "802-598-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM PIOTROWSKI, M.A., PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "PIOTROWSKI",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST - MASTER",
        "authorized_official_telephone_number": "802-777-8407",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "047.0100524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023943",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.