Denise S Vagt, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

24 Birch Ave
Ellsworth, ME 04605-1804

Phone

(207) 412-0429

NPI assigned

Dec 19, 2017

Last updated

May 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1083120661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 BIRCH AVE",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051804",
            "telephone_number": "207-412-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 BIRCH AVE",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051804",
            "telephone_number": "207-412-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAGT",
        "first_name": "DENISE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Trundy, MHRT-CSP
• Natashia M Turner
• Katherine Mae Tusing, RDH
• Union River Medicine. LLC
• Nicholas Scott Vachon, DPM
• Jose A Valdez, MHRT-CSP
• Miranda Beth Vallor, PT
• Tabitha E Varney, SP
• Mary M Veit, PHD LCSW
• Gina Marie Veits, CADC

• Psychologist in Ellsworth, ME
• Providers in Ellsworth, ME by specialty
• Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.