Georgiana Birmingham, MA

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

0470000720 Issued in VT

Practice address

38 Elm St
Montpelier, VT 05602-2995

Phone

(802) 229-9151

Fax

(802) 229-2508

NPI assigned

Mar 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elevate Youth Services Incorporated

  • Case Management Agency
  • Barre, VT
  • NPI 1306287651
  NPD (past)
• Elevate Youth Services Incorporated

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Barre, VT
  • NPI 1508936238
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811025844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 627",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056010627",
            "telephone_number": "802-229-9151",
            "fax_number": "802-229-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 ELM ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056022995",
            "telephone_number": "802-229-9151",
            "fax_number": "802-229-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRMINGHAM",
        "first_name": "GEORGIANA",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "VT",
            "license": "0470000720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Holly Baumgardner X, L.I.C.S.W.
• Catherine Marie Beaton, MA
• Sarah Catherine Gregoire Beebe, DPT
• David Beeken
• Claire Berry
• Sally Ann Bishko, D.D.S.
• Susannah C. Blachly, LCMHC
• Josette Blais, LCMHC
• Suzanna Bliss, LAC
• Derrick L. Blodgett, BA

• Clinical Child & Adolescent Psychologist in Montpelier, VT
• Providers in Montpelier, VT by specialty
• Clinical Child & Adolescent Psychologist in Vermont

• 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.

Verify at the official NPI Registry.