Active NPI
Sam Piotrowski, M.a., PLC
- Clinical Psychologist
- Burlington, VT
National Provider Identifier
1790155075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 047.0100524
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sam Michael Piotrowski, M.A.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023943 | Medicaid | VT |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychologist
- Burlington, VT
- NPI 1104234756
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.