| Matrix Health Systems P.c. | |
|
86 Lake St Burlington VT 05401-5297 | |
| (802) 865-3450 | |
| (802) 860-5011 |
| Full Name | Matrix Health Systems P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 86 Lake St, Burlington, Vermont |
| Authorized Official Name and Position | David Fassler (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8028653450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Matrix Health Systems P.c. 86 Lake St Burlington VT 05401-5297 Ph: (802) 865-3450 | Matrix Health Systems P.c. 86 Lake St Burlington VT 05401-5297 Ph: (802) 865-3450 |
| NPI Number | 1104872712 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 11/21/2014 |
| Medicare PECOS PAC ID | 1052219359 |
|---|---|
| Medicare Enrollment ID | O20031230000156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104872712 | NPI | - | NPPES |
| OVN1732 | Medicaid | VT | |
| 02112352 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Christopher M Wesolowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639115512 PECOS PAC ID: 5496713869 Enrollment ID: I20050103000015 |
| Provider Name | Kraig Libstag |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427076660 PECOS PAC ID: 2668480393 Enrollment ID: I20060322000436 |
| Provider Name | Michael D Upton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831168020 PECOS PAC ID: 1557370756 Enrollment ID: I20060417000683 |
| Provider Name | Neil Senior |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588698252 PECOS PAC ID: 0941203988 Enrollment ID: I20060814000137 |
| Provider Name | Louise M Rosales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487636288 PECOS PAC ID: 2062594971 Enrollment ID: I20080131000236 |
| Provider Name | Harris Kiva Strokoff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497866701 PECOS PAC ID: 0840354619 Enrollment ID: I20090123000306 |
| Provider Name | Wendy Donner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417999715 PECOS PAC ID: 0648441196 Enrollment ID: I20110914000352 |
| Provider Name | Adelaide Salley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467776286 PECOS PAC ID: 7719145374 Enrollment ID: I20120228000740 |
| Provider Name | Carolyn Subin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720265515 PECOS PAC ID: 9436309994 Enrollment ID: I20121019000016 |
| Provider Name | Kristine Elizabeth Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457661548 PECOS PAC ID: 9335365626 Enrollment ID: I20140722002245 |
| Provider Name | Jeremy W Gartner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396140901 PECOS PAC ID: 2668797937 Enrollment ID: I20150207000327 |
| Provider Name | Susan R Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659368595 PECOS PAC ID: 0143309492 Enrollment ID: I20170223000120 |
| Provider Name | Christina Pasnick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104352442 PECOS PAC ID: 4284911736 Enrollment ID: I20170510001008 |
| Provider Name | Anne Lawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770004566 PECOS PAC ID: 0941572408 Enrollment ID: I20170817001896 |
| Provider Name | Laurel Robbins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407311350 PECOS PAC ID: 8729327465 Enrollment ID: I20190225002132 |
| Provider Name | Wendy V Stephens-grube |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851325195 PECOS PAC ID: 9335313865 Enrollment ID: I20191021001653 |
| Provider Name | Sarah Harmeling |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629405972 PECOS PAC ID: 5395171623 Enrollment ID: I20200205002171 |
| Provider Name | Jessica Gershwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386029916 PECOS PAC ID: 5294164513 Enrollment ID: I20200407001742 |
| Provider Name | Catherine A. Fornarola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326642224 PECOS PAC ID: 6406264845 Enrollment ID: I20210423000050 |
| Provider Name | Elena S Nichols |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013588490 PECOS PAC ID: 7416352273 Enrollment ID: I20210818000196 |
| Provider Name | Brenda Evenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194488726 PECOS PAC ID: 5597154948 Enrollment ID: I20211105001166 |
| Provider Name | Nancy J Barber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639530280 PECOS PAC ID: 0345630588 Enrollment ID: I20211202002283 |
| Provider Name | Jennifer Parisi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386360840 PECOS PAC ID: 9931576576 Enrollment ID: I20221110001491 |
| Provider Name | Elizabeth Langbauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811355399 PECOS PAC ID: 6103295415 Enrollment ID: I20221208001499 |
| Provider Name | Joshua Shamoon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497241640 PECOS PAC ID: 2264804889 Enrollment ID: I20230208001603 |
| Provider Name | Amy Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528753811 PECOS PAC ID: 2264898139 Enrollment ID: I20230518001903 |
| Provider Name | Rachel Natvig |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356036222 PECOS PAC ID: 9234596669 Enrollment ID: I20230531000458 |
| Provider Name | Sheryl Foxman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598712457 PECOS PAC ID: 1658374871 Enrollment ID: I20231213001178 |
| Provider Name | Jesse Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801591045 PECOS PAC ID: 5294185096 Enrollment ID: I20231220000329 |
| Provider Name | Barbara Benton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225025588 PECOS PAC ID: 5799156907 Enrollment ID: I20240102000341 |
| Provider Name | Erin Kellar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225723778 PECOS PAC ID: 1759731714 Enrollment ID: I20240103001990 |
| Provider Name | Sarah Morrison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861066052 PECOS PAC ID: 1951751932 Enrollment ID: I20240103002620 |
| Provider Name | Ari Jean Karas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1154834265 PECOS PAC ID: 5193176808 Enrollment ID: I20240108000254 |
| Provider Name | Kim H Lang |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891921359 PECOS PAC ID: 9931570140 Enrollment ID: I20240123000317 |
| Provider Name | Beth C Engelberth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699460857 PECOS PAC ID: 6507219318 Enrollment ID: I20240129002084 |
| Provider Name | Richard J Finkelstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003979741 PECOS PAC ID: 4688613920 Enrollment ID: I20240301001446 |
| Provider Name | Patricia A Mosley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487764429 PECOS PAC ID: 4587003439 Enrollment ID: I20240411004104 |
| Provider Name | Brittany Haskins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144895277 PECOS PAC ID: 6709225519 Enrollment ID: I20240412002091 |
Natalie Zimmer Counseling, Lcmhc, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 92 Adams St, Burlington, VT 05401 Phone: 802-734-8757 | |
C. Emma Burrous, Ph.d., Plc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 Pine St, Burlington, VT 05401 Phone: 802-657-4042 Fax: 802-862-4062 | |
Distancetherapy.com Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Mansfield Ave Apt 201, Burlington, VT 05401 Phone: 802-448-3954 | |
F J Losch Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 990 Pine St, Burlington, VT 05401 Phone: 802-448-4226 | |
Justin Dragos Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 337 College St, Burlington, VT 05401 Phone: 802-233-8495 | |
Neurological Associates Of Vt Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 89 S Williams St, Burlington, VT 05401 Phone: 802-862-5759 Fax: 802-658-0680 | |
Duncan Fox Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 156 College St Ste 201, Burlington, VT 05401 Phone: 802-310-1408 |