Susan N. Legacy, MD PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SUSAN N. LEGACY, MD PLLC

Practice address

188 Allen Brook LN
Williston, VT 05495-9303

Phone

(802) 876-4000

Fax

(802) 876-4001

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Susan N Legacy, MDNPI 1114076163

Title

Physician Owner

Phone

(802) 876-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Susan Legacy, MD

  • Psychiatry Physician
  • Williston, VT
  • NPI 1114076163

  Psychiatry

  NPD (past) Authorized official
• Jennifer Lee Dumas Hall, PAC

  • Physician Assistant
  • Wilmington, NC
  • NPI 1508843012
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790834752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 ALLEN BROOK LN",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054959303",
            "telephone_number": "802-876-4000",
            "fax_number": "802-876-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 ALLEN BROOK LN",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054959303",
            "telephone_number": "802-876-4000",
            "fax_number": "802-876-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN N. LEGACY, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEGACY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "802-876-4000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010298",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Stitelman, MD
• Lily Stolberg, NP-C
• Katharine Ann Stones, DNP, FNP-C
• Alyssa Rae Strassel, D.C.
• Andrew Martin Stull, ATC
• Suzanne Monzel, PLC
• Kelly Swartz
• Erin Swasey, D.C
• Synchrosaic LLC
• Amy Taggart

• All providers in Williston, VT
• Psychiatry Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.