KIRSTEN ROOT PSYCHOLOGIST-MASTER
NPI 1053008557
Psychologist in Burlington, VT

Active since April 24, 2023PECOS Enrolled
100 MAIN ST, BURLINGTON, VT 05401(802) 417-7392 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kirsten Root Psychologist-master NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIRSTEN ROOT PSYCHOLOGIST-MASTER (NPI 1053008557) is an individual psychologist in Burlington, Vermont, licensed in Vermont (047.0133714) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053008557
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKIRSTEN ROOTCredential: PSYCHOLOGIST-MASTER
Location Address100 MAIN STBurlington, VT 05401-8475
Mailing Address316 Flynn Ave Apt 214Burlington, VT 05401-5194
Sole ProprietorYes
Enumeration DateApril 24, 2023
Last NPPES UpdateDecember 12, 2024
NPPES CertifiedDecember 12, 2024
✔ NPI 1053008557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in VT · 047.0133714
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
100 MAIN ST, Burlington, VT 05401

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kirsten Root Psychologist-master is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kirsten Root reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
86 LAKE ST
Burlington, VT 05401
  • Reassigned Medicare billing, Vermont enrollment
  • Medicare enrollment name: Matrix Health Systems PC
  • 33 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
100 MAIN ST
BURLINGTON, VT 05401
Psychiatry & Neurology (Psychiatry)
100 MAIN ST
BURLINGTON, VT 05401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kirsten Root's NPI number?

The NPI number for Kirsten Root is 1053008557. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Where is Kirsten Root located?

Kirsten Root practices at 100 Main St, Burlington, VT 05401. The listed phone number is (802) 417-7392.

What is Kirsten Root's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kirsten Root enrolled in Medicare?

Yes. Kirsten Root is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kirsten Root's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kirsten Root reassigns Medicare benefits to Matrix Health Systems P.C. (Burlington, VT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kirsten Root's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kirsten Root accept?

Health plans from Anthem Blue Cross and Blue Shield list Kirsten Root as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kirsten Root was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.