Individual provider Active NPI

Harvey J Klein, MD

  • Psychiatry Physician
  • Burlington, VT
National Provider Identifier
1174521736
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
42-0005410 Issued in VT
Practice address
267 Pearl St., Suite 10
Burlington, VT 05401-8543
Phone
(802) 658-5300
Fax
(802) 658-2067
NPI assigned
Jul 8, 2005
Last updated
Jan 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 42-0005410 VT Primary

Addresses

Primary practice location

267 Pearl St., Suite 10
Burlington, VT 05401-8543

Mailing address

267 Pearl St
Suite 10
Burlington, VT 05401-8564
Phone (802) 658-5300

Other identifiers 2

IdentifierTypeStateIssuer
4970OtherVTBCBS-VT
0004970MedicaidVT

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110311000021 VT Practitioner - Psychiatry 8628250651 Practice locations: South Burlington, VT

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wayne State University School of Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20 Bartlett Bay Rd
South Burlington, VT 05403-7702
Phone (802) 658-5300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42-0005410VTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Annie Lawson Licsw LLC PastSince Jan 12, 2023 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1174521736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 PEARL ST",
            "address_2": "SUITE 10",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018564",
            "telephone_number": "802-658-5300",
            "fax_number": "802-658-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 PEARL ST., SUITE 10",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018543",
            "telephone_number": "802-658-5300",
            "fax_number": "802-658-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "HARVEY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "42-0005410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-VT",
            "identifier": "4970",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004970",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.