Active NPI
Carolyn Dundon, PH.D.
- Psychologist
- Bristol, VT
National Provider Identifier
1487001020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 048.0112133
- Practice address
- 14 School St
School House Office Suite 2
Bristol, VT 05443-1210 - Phone
- (802) 989-8053
- NPI assigned
- May 23, 2016
- Last updated
- May 23, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 048.0112133 | VT | Primary |
Addresses
Primary practice location
14 School St
School House Office Suite 2
Bristol, VT 05443-1210
Mailing address
38 Garfield St
Bristol, VT 05443-1303
Phone (802) 989-8053
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170825000826 | VT | Practitioner - Clinical Psychologist | 3072885029 | Practice locations: Bristol, VT |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- University of Vermont College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
14 School St
Suite 203 2
Bristol, VT 05443-1240
Phone (802) 453-6330
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463961600000",
"number": "1487001020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 GARFIELD ST",
"city": "BRISTOL",
"state": "VT",
"postal_code": "054431303",
"telephone_number": "802-989-8053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 SCHOOL ST",
"address_2": "SCHOOL HOUSE OFFICE SUITE 2",
"city": "BRISTOL",
"state": "VT",
"postal_code": "054431210",
"telephone_number": "802-989-8053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNDON",
"first_name": "CAROLYN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-23",
"last_updated": "2016-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VT",
"license": "048.0112133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, VT
- Lindsey Victoria Coward, FNP-BC
- Michelle S. Davis, MS, CCC-SLP
- Melissa Anne Deas, L.M., C.P.M.
- Brandy May Devino, MSW
- Diane K. Greenberg, PT (Bristol Physical Therapy)
- Karen Rachel Edwards, M.S., L.AC.
- Alison Mae Farr, R.N
- Megan Elizabeth Fennell, CMHC
- Ann Dreher Fisher
- Five-Town Health Alliance, Inc (Mountain Community Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.