DR. SUSAN M FORTIER PSYD NPI 1871519520

NPI Information

NPI: 1871519520
Provider Name: DR. SUSAN M FORTIER, PSYD
Classification: Psychologist - 103TA0700X
Entity Type: Individual

Specialization: Adult Development & Aging

PECOS Registration: Yes

Address:
100 MANSFIELD AVE
BURLINGTON, VT
ZIP 05401
Phone: (802) 734-5876
Get Directions

DR. Susan M Fortier, PSYD is an adult development and aging psychologist in Burlington, VT. The provider is a psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care. DR. Susan M Fortier, PSYD NPI is 1871519520. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 MANSFIELD AVE
BURLINGTON, VT
ZIP 05401-322
Phone: (802) 734-5876
Fax: (802) 489-5294

The NPI 1871519520 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 7/14/2006 and was last updated on 11/20/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TA0700X	Psychologist	Adult Development & Aging	0480000609	VERMONT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	28128	OTHER	VERMONT	BC/BS
2	VN1431	MEDICARE ID-TYPE UNSPECIFIED	VERMONT
3	0VN1431	MEDICAID	VERMONT
4	41402	OTHER	VERMONT	MVP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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