NPIMap

Organization Active NPI

Central Vermont Medical Center Inc

  • Psychiatry Physician
  • Berlin, VT
National Provider Identifier
1316990443
Registry record updated Jan 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CENTRAL VERMONT MEDICAL CENTER INC
Practice address
130 Fisher Rd
Berlin, VT 05602-9516
Phone
(802) 371-4100
Fax
(802) 371-4488
NPI assigned
May 18, 2006
Last updated
Jan 21, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
CVMC-PSYCHIATRY GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 21, 2013

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

Authorized official

Name
Karen Brown
Title
Director, Patient Financial Service
Phone
(802) 371-4235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

130 Fisher Rd
Berlin, VT 05602-9516

Mailing address

PO Box 547
Barre, VT 05641-0547
Phone (802) 371-4100

Other identifiers 1

IdentifierTypeStateIssuer
0005434MedicaidVT

Other names 1

  • CVMC-Psychiatry Group Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040510001034 VT Part B Supplier - Clinic/Group Practice 9335138817 Receives reassigned benefits from 202 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Barre, VT

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Central Vermont Hospita

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358726400000",
    "number": "1316990443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056410547",
            "telephone_number": "802-371-4100",
            "fax_number": "802-371-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 FISHER RD",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029516",
            "telephone_number": "802-371-4100",
            "fax_number": "802-371-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VERMONT MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CVMC-PSYCHIATRY GROUP",
        "enumeration_date": "2006-05-18",
        "last_updated": "2013-01-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DIRECTOR, PATIENT FINANCIAL SERVICE",
        "authorized_official_telephone_number": "802-371-4235"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005434",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVMC-Psychiatry Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Berlin, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.