Angela Scavo, PSYCHOLOGIST MASTER

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

047.0133713 Issued in VT

Practice address

38 Main St FL 2
Middlebury, VT 05753-1473

Phone

(802) 349-0609

NPI assigned

Oct 14, 2024

Last updated

Oct 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1811717002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 MUNSON RD",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057539041",
            "telephone_number": "802-349-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 MAIN ST FL 2",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531473",
            "telephone_number": "802-349-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCAVO",
        "first_name": "ANGELA",
        "credential": "PSYCHOLOGIST MASTER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "047.0133713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myriam Salameh, MD
• Peggy Owen Sands, PT, MS
• Michael Joseph Sassin II, BCBA
• Samantha Ann Sawyer, PHARMD
• Margaret (Peggy) Sax, PHD
• Mallory Schemm
• Kristin Alana Schiller, MPAS, MS, PA-C, RDN
• Bridget Schirripa, LICSW
• Roger Schmidt
• Hal Preston Schmitter, M.A.

• Clinical Psychologist in Middlebury, VT
• Providers in Middlebury, VT by specialty
• Clinical Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.