Individual provider Active NPI

Stella Marrie, PSY.D.

  • Clinical Psychologist
  • Montpelier, VT
National Provider Identifier
1942390463
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
048000737 Issued in VT
Practice address
147 State St
Montpelier, VT 05602-3301
Phone
(802) 535-6369
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 048000737 VT Primary

Addresses

Primary practice location

147 State St
Montpelier, VT 05602-3301

Mailing address

240 Dimick Rd
East Hardwick, VT 05836-9633
Phone (802) 472-8041

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
I20060331000461 VT Practitioner - Clinical Psychologist 5799793717 Practice locations: Montpelier, VT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 E State St
Montpelier, VT 05602-3112
Phone (802) 535-6369

240 Dimick Rd
East Hardwick, VT 05836-9633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048000737VTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Moon Counseling LLC Past Accepting new patients
Deer Oaks New England, LLC Clinical Past Accepting new patients
Deer Oaks Mental Health Associates PC Clinical Past Accepting new patients

Organizations & group practices 3

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1942390463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 DIMICK RD",
            "city": "EAST HARDWICK",
            "state": "VT",
            "postal_code": "058369633",
            "telephone_number": "802-472-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 STATE ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056023301",
            "telephone_number": "802-535-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRIE",
        "first_name": "STELLA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "048000737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montpelier, VT

Sources for this page

Verify at the official NPI Registry.