Individual provider Active NPI

Lance Budge Thigpen, M.D.

  • Child & Adolescent Psychiatry Physician
  • Brattleboro, VT
National Provider Identifier
1386739209
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
042.0012539 Issued in VT
Practice address
1 Anna Marsh Lane
Brattleboro, VT 05302
Phone
(802) 258-7785
Fax
(802) 258-3723
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 054055 GA
Child & Adolescent Psychiatry Physician 2084P0804X 054055 GA
Child & Adolescent Psychiatry Physician 2084P0804X 042.0012539 VT Primary

Addresses

Primary practice location

1 Anna Marsh Lane
Brattleboro, VT 05302

Mailing address

1 Anna Marsh Lane
Brattleboro, VT 05302
Phone (802) 258-7785

Other identifiers 4

IdentifierTypeStateIssuer
003195401OtherVTMEDICARE
3086728MedicaidNH
1021583MedicaidVT
797863397AMedicaidGA

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
I20130515000493 VT Practitioner - Psychiatry 0143210054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Medical College of Georgia School of Medicine, 1999
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)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Brattleboro Retreat CurrentSince Aug 20, 2018 Accepting new patients
Brattleboro Retreat PastSince Aug 20, 2018 Accepting new patients

Locations

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

1 Anna Marsh Ln
Dummerston, VT 05301

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1386739209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ANNA MARSH LANE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "05302",
            "telephone_number": "802-258-7785",
            "fax_number": "802-258-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ANNA MARSH LANE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "05302",
            "telephone_number": "802-258-7785",
            "fax_number": "802-258-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIGPEN",
        "first_name": "LANCE",
        "middle_name": "BUDGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-05-13",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "054055",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "GA",
            "license": "054055",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "VT",
            "license": "042.0012539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "003195401",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3086728",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021583",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "797863397A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

Verify at the official NPI Registry.