Vermont Educational Support Associates, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

196 Issued in VT

Legal business name

VERMONT EDUCATIONAL SUPPORT ASSOCIATES, INC.

Practice address

1085 US Route 4 E
Suite 2a
Rutland, VT 05701

Phone

(802) 775-6331

Fax

(802) 775-6373

NPI assigned

Apr 23, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Joyce Anne Cunningham, EDD

Title

President

Phone

(802) 775-6331

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.

• William Lawther Cunningham, PHD

  • Clinical Psychologist
  • Rutland, VT
  • NPI 1316044506
  NPD (past)
• Kimberly Ann Rider, M.S

  • Psychologist
  • Rutland, VT
  • NPI 1700103157
  NPD (past)

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1881038693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 US ROUTE 4",
            "address_2": "SUITE 2A",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "05701",
            "telephone_number": "802-775-6331",
            "fax_number": "802-775-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 US ROUTE 4 E",
            "address_2": "SUITE 2A",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "05701",
            "telephone_number": "802-775-6331",
            "fax_number": "802-775-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMONT EDUCATIONAL SUPPORT ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-775-6331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "VT",
            "license": "196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6565",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Rutland, VT
• Providers in Rutland, VT by specialty
• Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.