Santosh Sangarasivam, LCMHC is a
Psychologist based in Wilder, Vermont. Santosh Sangarasivam is licensed to practice in Vermont (license number 07SMS58211) and her current practice location is
205 Billings Farm Road, Unit 1, Wilder, Vermont. She can be reached at her office (for appointments etc.) via phone at
(603) 643-3882.
NPI number for Santosh Sangarasivam is 1326160441 and her current mailing address is Po Box 823, Norwich, Vermont. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326160441.
Healthcare Provider's Profile
| Full Name | Santosh Sangarasivam |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
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| Location | 205 Billings Farm Road, Wilder, Vermont |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1326160441
- Provider Enumeration Date: 04/06/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Santosh Sangarasivam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326160441 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 07SMS58211 (Vermont) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Santosh Sangarasivam is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Santosh Sangarasivam, LCMHC
Po Box 823,
Norwich, VT 05055-0823
Ph: (603) 643-3882 | Santosh Sangarasivam, LCMHC
205 Billings Farm Road, Unit 1,
Wilder, VT 05088
Ph: (603) 643-3882 |
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