Meta Eliza Surjaputra
Clinical Psychologist · Burlington, VT
Meta Eliza Surjaputra is a clinical psychologist with a practice address in Burlington, Vermont, and NPI 1093382616, issued on Jun 10, 2021. Check the license (Vermont 048.0135289, as entered in NPPES) with the Vermont board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Meta Eliza Surjaputra
- Primary taxonomy
- Clinical Psychologist 103TC0700X
- License number
- 048.0135289 VT
Self-reported in NPPES; status is on the state search - Practice location
- 111 Colchester Ave, Burlington, VT 05401
- Phone
- (802) 847-3634
- Enumerated
- Jun 10, 2021
- Record last updated
- Oct 16, 2025
- Fax
- (802) 847-8961
- Medicare enrollment
- Enrolled (PECOS I20251024003571); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest clinical psychologist records → All 311 in Vermont → Look up another NPI →
Also registered at 111 Colchester Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kevin Abnet, MDAnesthesiology Physician1699742437
- Faiz Abu-Jaber, MDInternal Medicine Physician1184201964
- Brittney Accavallo, RNNeonatal Nurse Practitioner1083255459
- Daniel Ackil, DOEmergency Medicine Physician1033558879
- Rachel Adelsheim, MDStudent in an Organized Health Care Education/Training Program1700589637
- Steven Ades, MDHematology & Oncology Physician1972796167
Verify Meta Eliza Surjaputra in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Vermont board licenses this profession
Search for license 048.0135289Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- University OF Vermont Medical Center IncBurlington, VT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Meta Eliza Surjaputra among 311 clinical psychologist records in Vermont
Meta Eliza Surjaputra is one of 311 clinical psychologist records with a practice address in Vermont. 9% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 91% of them.
- NPI issued2021 · 91% of these records are older, 7% newer
- In a Medicare fileYes · 9% of these records are
- In the CMS Doctors and Clinicians fileYes · 35% of these records are
- Graduated2024 · median 1998 among the 110 with a school on file
- Record last updated2025 · 74% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Vermont practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
89 clinical psychologist records list a practice address in Burlington
They are 89 of the 3,455 NPPES records with a practice address in Burlington, and 311 clinical psychologist records in Vermont.
All 311 in Vermont → Every provider in Burlington → Clinical Psychologist nationwide →
The 8 clinical psychologist records with the nearest ZIP codes
- Richard Davis, PH.D.Burlington, VT 054011194703868
- Paul Foxman, PH.D., INC.Burlington, VT 054011679591895
- Laura Gibson, PHDBurlington, VT 054011992757280
- Frances Griffis, PSY.D.Burlington, VT 054011215957717
- Paul Hagar, MA PSY-MASTERBurlington, VT 054011205868841
- Kraig Libstag, ED.D.Burlington, VT 054011427076660
- Kate Longmaid, PH.D.Burlington, VT 054011609848324
- Milton Marasch, PH.D.Burlington, VT 054011427053586
Common questions
What is Meta Eliza Surjaputra's NPI number?
Meta Eliza Surjaputra's National Provider Identifier (NPI) is 1093382616, issued on Jun 10, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Meta Eliza Surjaputra located?
The NPPES record lists a practice address at 111 Colchester Ave, Burlington, VT, 05401. Phone: (802) 847-3634. Providers update this record themselves, so call before visiting.
How can I verify Meta Eliza Surjaputra's license?
NPPES lists Vermont license number 048.0135289, as entered by the provider. Search the Vermont board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.