Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Meta Eliza Surjaputra

Individual provider Clinical Psychologist · NPI 1093382616

Meta Eliza Surjaputra is a Clinical Psychologist in Burlington, Vermont. Qualified in 2024, 2 years ago. Practices with University of Vermont Medical Center Inc, a 1,202-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Vermont.

Years since qualifying
2
Licensed in
VT
In the registry since
2021
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Practice location Address checks out

111 Colchester Ave
Burlington, VT 05401-1473
Phone: (802) 847-3634
Fax: (802) 847-8961
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 333 N Michigan Ave, Chicago, IL 60601-3901 — (312) 815-9660

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 048.0135289 (VT)

Record details

NPI number1093382616
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 10, 2021
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice University Of Vermont Medical Center Inc — 1202 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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