Individual provider Active NPI

Rachel Christine Conrad, M.D.

  • Psychiatry Physician
  • Dummerston, VT
National Provider Identifier
1225424583
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
275043 Issued in MA
Practice address
22 Anna Marsh LN
Dummerston, VT 05301-3292
Phone
(802) 258-3737
NPI assigned
Apr 13, 2015
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 275043 MA Primary
Child & Adolescent Psychiatry Physician 2084P0804X 275043 MA

Addresses

Primary practice location

22 Anna Marsh LN
Dummerston, VT 05301-3292

Mailing address

22 Anna Marsh LN
Dummerston, VT 05301-3292
Phone (802) 258-3737

Other identifiers 2

IdentifierTypeStateIssuer
042.0018109-COMPOtherVTVERMONT MEDICAL LICENSE
275043OtherMAMASSACHUSETTS MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, ME, VT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200131001219 MA Practitioner - Psychiatry 5496181992 Reassigns benefits to 4 organizations
I20240615000131 ME Practitioner - Psychiatry 5496181992 Reassigns benefits to 1 organization
I20241030002389 VT Practitioner - Psychiatry 5496181992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Baylor College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brattleboro RetreatGroup PAC ID 7012828908, 61 clinicians

Practice addresses (Care Compare)

22 Anna Marsh LN
Dummerston, VT 05301-3292
Phone (802) 258-4391

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
275043MAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham & Womens Physicians Organization Inc Multi-Specialty CurrentSince Mar 1, 2020 Accepting new patients
Acadia Hospital Corp Multi-Specialty CurrentSince May 26, 2024 Accepting new patients
Cambridge Public Health Commission Multi-Specialty CurrentSince Dec 10, 2023 Accepting new patients
Mass General Brigham Medical Group Suburban Massachusetts Inc Multi-Specialty CurrentSince Dec 11, 2019 Accepting new patients
Brattleboro Retreat Multi-Specialty CurrentSince Oct 1, 2024 Accepting new patients
Cambridge Public Health Commission Multi-Specialty CurrentSince Dec 10, 2023 Accepting new patients

Locations

221 Longwood Ave
Boston, MA 02115
Phone (617) 732-4918

75 Francis St
Boston, MA 02115

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

350 Main St
Ste 31
Malden, MA 02148
Phone (781) 397-6583

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470

22 Anna Marsh Ln
Dummerston, VT 05301
Phone (802) 258-3700

Organizations & group practices 7

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": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1225424583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ANNA MARSH LN",
            "city": "DUMMERSTON",
            "state": "VT",
            "postal_code": "053013292",
            "telephone_number": "802-258-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ANNA MARSH LN",
            "city": "DUMMERSTON",
            "state": "VT",
            "postal_code": "053013292",
            "telephone_number": "802-258-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "RACHEL",
        "middle_name": "CHRISTINE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-13",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "275043",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "275043",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VERMONT MEDICAL LICENSE",
            "identifier": "042.0018109-COMP",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSACHUSETTS MEDICAL LICENSE",
            "identifier": "275043",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dummerston, VT

Sources for this page

Verify at the official NPI Registry.