Active NPI
Heidie Vazquez-Garcia, PH.D
- Clinical Psychologist
- Manchester, VT
National Provider Identifier
1902952765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS00992
- Practice address
- 3855 Main St
Manchester, VT 05254 - Phone
- (802) 367-1068
- Fax
- (802) 367-1069
- NPI assigned
- Jan 26, 2007
- Last updated
- Jan 16, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS00992 | RI | Primary |
Addresses
Primary practice location
3855 Main St
Manchester, VT 05254
Mailing address
PO Box 804
Manchester, VT 05254-0804
Phone (401) 714-8774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS00992 | RI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389830400000",
"number": "1902952765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 804",
"city": "MANCHESTER",
"state": "VT",
"postal_code": "052540804",
"telephone_number": "401-714-8774",
"fax_number": "802-367-1068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3855 MAIN ST",
"city": "MANCHESTER",
"state": "VT",
"postal_code": "05254",
"telephone_number": "802-367-1068",
"fax_number": "802-367-1069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ-GARCIA",
"first_name": "HEIDIE",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2014-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "RI",
"license": "PS00992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.