Shelburne Mind Body Medicine LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SHELBURNE MIND BODY MEDICINE LLC

Doing business as

Shelburne Mind Body Medicine

Practice address

161 Ferry Rd
Charlotte, VT 05445-9901

Phone

(802) 448-4408

Fax

(802) 341-6595

NPI assigned

Oct 17, 2023

Organization subpart

No

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

Authorized official

Name

Darcy Nora Faibish, NP

Title

Clinical Director

Phone

(802) 448-4408

Specialties & licenses 1

Addresses

Other names 1

• Shelburne Mind Body Medicine Doing business as

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1447032115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42",
            "city": "CHARLOTTE",
            "state": "VT",
            "postal_code": "054450042",
            "telephone_number": "802-448-4408",
            "fax_number": "802-341-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 FERRY RD",
            "city": "CHARLOTTE",
            "state": "VT",
            "postal_code": "054459901",
            "telephone_number": "802-448-4408",
            "fax_number": "802-341-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBURNE MIND BODY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "FAIBISH",
        "authorized_official_first_name": "DARCY",
        "authorized_official_middle_name": "NORA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "802-448-4408",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelburne Mind Body Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michele Ann O'Neill, M.S.W.
• Charles Nicholas Pappas, M.D.
• Bryan Elliot Petrow, PHARM.D
• Andrea Van Buren Regan, MD
• Kris Marie Root, LCMHC
• Jane Snyder
• Laetitia Caroline Sprigg, LCMHC
• Catherine Stanger, PH.D.
• Letitia Diane Tayeby, MA, N.C.C.
• Luis Felipe Toro Reyes, DOM, LAC

• Psychiatric/Mental Health Nurse Practitioner in Charlotte, VT
• Providers in Charlotte, VT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.