Active NPI
Alexander Smith
- Psychologist
- Panton, VT
National Provider Identifier
1811021652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 047-0000613
- Practice address
- 1849 Panton Rd
Panton, VT 05491-9481 - Phone
- (802) 475-5216
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 047-0000613 | VT | Primary |
Addresses
Primary practice location
1849 Panton Rd
Panton, VT 05491-9481
Mailing address
1849 Panton Rd
Panton, VT 05491-9481
Phone (802) 475-5216
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 |
|---|---|---|---|
| 047-0000613 | VT | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811021652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1849 PANTON RD",
"city": "PANTON",
"state": "VT",
"postal_code": "054919481",
"telephone_number": "802-475-5216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1849 PANTON RD",
"city": "PANTON",
"state": "VT",
"postal_code": "054919481",
"telephone_number": "802-475-5216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ALEXANDER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VT",
"license": "047-0000613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Panton, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.