Individual provider Active NPI

Marcia W Hemley, PHD

  • Psychologist
  • Burlington, VT
National Provider Identifier
1922089010
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
480000032 Issued in VT
Practice address
92 Adams St
Burlington, VT 05401-4525
Phone
(802) 863-6114
Fax
(802) 951-9950
NPI assigned
Nov 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 480000032 VT Primary

Addresses

Primary practice location

92 Adams St
Burlington, VT 05401-4525

Mailing address

92 Adams St
Burlington, VT 05401-4525
Phone (802) 863-6114

Other identifiers 1

IdentifierTypeStateIssuer
0002872MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120109000573 VT Practitioner - Clinical Psychologist 3971779232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

92 Adams St
Burlington, VT 05401-4525
Phone (802) 863-6114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
480000032VTMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Marcia W. Hemley PHD, P.C. Psychologist CurrentSince Jul 12, 2011 Accepting new patients

Locations

92 Adams St
Burlington, VT 05401
Phone (802) 242-1382

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1922089010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 ADAMS ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014525",
            "telephone_number": "802-863-6114",
            "fax_number": "802-951-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 ADAMS ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014525",
            "telephone_number": "802-863-6114",
            "fax_number": "802-951-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMLEY",
        "first_name": "MARCIA",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VT",
            "license": "480000032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002872",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.