Mindful Dermatology, LTD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MINDFUL DERMATOLOGY, LTD

Practice address

205 Billings Farm Rd
Suite 2D
White River Junction, VT 05001-5400

Phone

(802) 281-6448

NPI assigned

May 13, 2015

Organization subpart

No

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

Authorized official

Name

Roberta Lucas, M.D.

Title

Director

Phone

(802) 281-6448

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1104204874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 BILLINGS FARM RD",
            "address_2": "SUITE 2D",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050015400",
            "telephone_number": "802-281-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BILLINGS FARM RD",
            "address_2": "SUITE 2D",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050015400",
            "telephone_number": "802-281-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL DERMATOLOGY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "802-281-6448",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Merguerian, DPT
• Adam Meyer
• Michael Millar
• Gerard F Miller
• Peter Donald Mills, PH.D., M.S.
• Vinita Mistry, PHARMD
• Kelly Dolan Mitchell, LCMHC
• Robert Peter Mogielnicki, M.D.
• Kathleen A Monroe, M.A., CCC-SLP
• Maria Christine Morgan

• Dermatology Physician in White River Junction, VT
• Providers in White River Junction, VT by specialty
• Dermatology Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.