Carolyn Dundon, PH.D.
Individual provider Active NPI Psychologist · Bristol, VT
NPI 1487001020 · NPPES record last updated May 23, 2016
Key facts
- NPI
- 1487001020
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 048.0112133 (VT)
- Practice address
- 14 School St
School House Office Suite 2
Bristol, VT 05443-1210 - Phone
- (802) 989-8053
- NPI assigned
- May 23, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170825000826 | VT | Practitioner - Clinical Psychologist | 3072885029 | Practice locations: Bristol, VT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 048.0112133 | VT | Yes |
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
Other providers in Bristol, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.