Individual provider Active NPI

Matthew D Sommons, MD

  • Psychiatry Physician
  • Rutland, VT
National Provider Identifier
1497715353
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
042.0013852 Issued in VT
Practice address
160 Allen St
Rutland, VT 05701
Phone
(802) 747-3715
Fax
(802) 773-4471
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 016809 ME
Psychiatry Physician 2084P0800X 042.0013852 VT Primary

Addresses

Primary practice location

160 Allen St
Rutland, VT 05701

Mailing address

160 Allen St
Rutland, VT 05701-4560
Phone (802) 747-3715

Other practice location 1

2595 Interstate Dr
suite 103
Harrisburg, PA 17110-9378
Phone (800) 370-3651

Other practice location 2

2595 Interstate Dr
suite 103
Harrisburg, PA 17110-9378
Phone (800) 370-3651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 12, 2023 through Jul 12, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
016809MEMDPsychiatry Physician
042.0013852VTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elium Care, PC CurrentSince Apr 3, 2022 Accepting new patients

Locations

2325 Heritage Center Dr
Ste 401
Furlong, PA 18925
Phone (215) 446-8012

Organizations & group practices 1

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1497715353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ALLEN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014560",
            "telephone_number": "802-747-3715",
            "fax_number": "802-773-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 ALLEN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "05701",
            "telephone_number": "802-747-3715",
            "fax_number": "802-773-4471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2595 Interstate Dr",
            "address_2": "suite 103",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171109378",
            "country_code": "US",
            "telephone_number": "800-370-3651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2595 Interstate Dr",
            "address_2": "suite 103",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171109378",
            "country_code": "US",
            "telephone_number": "800-370-3651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOMMONS",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "016809",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "042.0013852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

Verify at the official NPI Registry.