Individual provider Active NPI

Jillan Cantor Sackett, M.D., M.S.

  • Psychiatry Physician
  • Shelburne, VT
National Provider Identifier
1134339732
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
042.0016731 Issued in VT
Practice address
207 Webster Rd
Shelburne, VT 05482-6533
Phone
(215) 292-5146
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MT190601 PA
Child & Adolescent Psychiatry Physician 2084P0804X MT190601 PA
Child & Adolescent Psychiatry Physician 2084P0804X MD438419 PA
Psychiatry Physician 2084P0800X 042.0016731 VT Primary

Addresses

Primary practice location

207 Webster Rd
Shelburne, VT 05482-6533

Mailing address

300 Bear Creek LN
Waterbury Center, VT 05677-8332
Phone (215) 292-5146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Science

State licenses

LicenseStateTypeSpecialty
MT190601PAMDPsychiatry Physician
042.0016731VTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Psychological PC CurrentSince Apr 23, 2016 Accepting new patients
Hopewell Psychology LLC Psychiatry CurrentSince May 1, 2025 Accepting new patients

Locations

1999 Sproul Rd
Ste 23
Broomall, PA 19008
Phone (484) 731-0000

1120 Welsh Rd
Ste 120
North Wales, PA 19454
Phone (908) 872-2476

1489 Baltimore Pike
Ste 250
Springfield, PA 19064
Phone 6105442110144

999 W Chester Pike
Ste 101
West Chester, PA 19382
Phone (484) 731-0000

126 W Miner St
West Chester, PA 19382
Phone (484) 731-0000

560 Van Reed Rd
Ste 301
Wyomissing, PA 19610
Phone (610) 378-9601

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1134339732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BEAR CREEK LN",
            "city": "WATERBURY CENTER",
            "state": "VT",
            "postal_code": "056778332",
            "telephone_number": "215-292-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 WEBSTER RD",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054826533",
            "telephone_number": "215-292-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACKETT",
        "first_name": "JILLAN",
        "middle_name": "CANTOR",
        "name_prefix": "Dr.",
        "credential": "M.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MT190601",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MT190601",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD438419",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "042.0016731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelburne, VT

Sources for this page

Verify at the official NPI Registry.