Irene F Sharp LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

IRENE F SHARP LLC

Practice address

69 Joy Dr Apt D5
South Burlington, VT 05403-6123

Phone

(802) 865-3450

Fax

(802) 860-5011

NPI assigned

Jan 26, 2024

Organization subpart

No

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

Authorized official

Name

Irene F Sharp, M.A.NPI 1235151663

Title

Psychologist-Master

Phone

(802) 865-3450

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Irene F. Sharp, M.A.

  • Clinical Psychologist
  • South Burlington, VT
  • NPI 1235151663
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1891557674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 LAKE ST STE 110",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015297",
            "telephone_number": "802-865-3450",
            "fax_number": "802-860-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 JOY DR APT D5",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036123",
            "telephone_number": "802-865-3450",
            "fax_number": "802-860-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRENE F SHARP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PSYCHOLOGIST-MASTER",
        "authorized_official_telephone_number": "802-865-3450",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Clinical Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.