Carl Justice Clinton

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

101.0139620 Issued in VT

Practice address

132 Main St Apt 303
Brattleboro, VT 05301-3034

Phone

(870) 883-1194

NPI assigned

Apr 22, 2026

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1776816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1083559272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 DEERWOOD DR",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721509626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 MAIN ST APT 303",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053013034",
            "telephone_number": "870-883-1194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Deerwood Dr",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "AR",
            "postal_code": "721509626",
            "country_code": "US",
            "telephone_number": "870-883-1194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLINTON",
        "first_name": "CARL",
        "middle_name": "JUSTICE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VT",
            "license": "101.0139620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Chiaravalle, FNP
• Adam Daniel Christophe, PHARMD, RPH, CDE
• Ellen Patricia Clancy, MSW
• Khalila Cliche
• Clifford B. Langweiler MD PC
• Clyde a. Newton MD PC
• John B Cochran, LCMHC
• Michael R Cohan, D.O.
• David Bruce Cohen, M.A.
• Ellen Cohen, M.D.

• All providers in Brattleboro, VT
• Psychiatric/Mental Health Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.