St Johnsbury Psychology Associates, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

048.0052907 Issued in VT

Legal business name

ST JOHNSBURY PSYCHOLOGY ASSOCIATES, PLLC

Practice address

1097 Main St
St Johnsbury, VT 05819-2646

Phone

(802) 751-9347

NPI assigned

Oct 2, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Judith Markey, PSYD

Title

Owner/Manager

Phone

(802) 751-9347

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1831569862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058190132",
            "telephone_number": "802-751-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 MAIN ST",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058192646",
            "telephone_number": "802-751-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHNSBURY PSYCHOLOGY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "MARKEY",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "802-751-9347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "048.0052907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0018468",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017870",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Singer, P.A.
• Carol Lynn Smith, LCMHC LDAC
• Robert M Smith, MD
• Dennis Pestano Sol Cruz, 026.0069813
• Jonathan Duvall Speer, PA
• Amanda M St Martin, MD
• St. Johnsbury Dental Associates Inc.
• St. Johnsbury Health and Rehabilitation Center LLC
• St. Johnsbury School District
• Elaine V Stasny, M.D.

• Clinical Psychologist in St Johnsbury, VT
• Providers in St Johnsbury, VT by specialty
• Clinical Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.