Active NPI
Clifford Miles Karmiohl, PH.D.
- Clinical Child & Adolescent Psychologist
- South Burlington, VT
National Provider Identifier
1114983939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 048-0000522
- Practice address
- 22 Patchen Rd
South Burlington, VT 05403-5704 - Phone
- (802) 864-3012
- NPI assigned
- Apr 21, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 048-0000522 | VT | Primary |
Addresses
Primary practice location
22 Patchen Rd
South Burlington, VT 05403-5704
Mailing address
22 Patchen Rd
South Burlington, VT 05403-5704
Phone (802) 434-5838
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003397 | Medicaid | VT | |
| 18106 | Other | VT | BC & BS OF VERMONT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100927000674 | VT | Practitioner - Clinical Psychologist | 5193841203 | Practice locations: South Burlington, VT |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3 Baycrest Dr
South Burlington, VT 05403-7713
Phone (802) 922-7393
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048-0000522 | VT | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1114983939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 PATCHEN RD",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054035704",
"telephone_number": "802-434-5838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 PATCHEN RD",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054035704",
"telephone_number": "802-864-3012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARMIOHL",
"first_name": "CLIFFORD",
"middle_name": "MILES",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "VT",
"license": "048-0000522",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003397",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC & BS OF VERMONT",
"identifier": "18106",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.