Active NPI
Christopher Nicholas David, MD
- Child & Adolescent Psychiatry Physician
- Hermiston, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD221814
- Practice address
- 600 NW 11TH St Ste E37
Hermiston, OR 97838-8604 - Phone
- (541) 667-3740
- Fax
- (541) 303-8743
- NPI assigned
- Apr 4, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 042-0015412 | VT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD221814 | OR | Primary |
Addresses
Primary practice location
600 NW 11TH St Ste E37
Hermiston, OR 97838-8604
Mailing address
23 Ledge Way
South Burlington, VT 05403-4532
Phone (248) 885-1437
Other practice location 1
130 Fisher Rd Unit 1
Berlin, VT 05602-8132
Phone (802) 371-4392
Other practice location 2
111 Colchester Ave # Smith422
Burlington, VT 05401-1473
Phone (802) 847-3450
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0015412 | VT | MD | Psychiatry Physician |
| MD221814 | OR | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Vermont | Current | Accepting new patients | |
| State of Vermont | Current | Accepting new patients | |
| Central Vermont Medical Center Inc | Psychiatry | Current | Accepting new patients |
| Good Shepherd Health Care System | Past | Accepting new patients |
Locations
130 Fisher Rd
Unit 1
Berlin, VT 05602
Phone (802) 225-1743
130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400
111 Colchester Ave
#422
Burlington, VT 05401
Phone (802) 847-3450
350 Fisher Rd
Montpelier, VT 05633
Phone (802) 828-3300
280 State Dr
#2
Waterbury, VT 05671
Interoperability endpoints
- cdavid422211@direct.uvmhealth.org
- cdavid1515587@direct.lhs.org
Organizations & group practices 4
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.
-
- Psychiatric Hospital
- Berlin, VT
- NPI 1043567977
-
- Clinical Medical Laboratory
- Colchester, VT
- NPI 1215151410
-
- Pediatrics Physician
- Hermiston, OR
- NPI 1336198159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1508362849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 LEDGE WAY",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054034532",
"telephone_number": "248-885-1437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 NW 11TH ST STE E37",
"city": "HERMISTON",
"state": "OR",
"postal_code": "978388604",
"telephone_number": "541-667-3740",
"fax_number": "541-303-8743"
}
],
"practiceLocations": [
{
"address_1": "130 Fisher Rd Unit 1",
"address_purpose": "LOCATION",
"city": "Berlin",
"state": "VT",
"postal_code": "056028132",
"country_code": "US",
"telephone_number": "802-371-4392",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 Colchester Ave # Smith422",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "VT",
"postal_code": "054011473",
"country_code": "US",
"telephone_number": "802-847-3450",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVID",
"first_name": "CHRISTOPHER",
"middle_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-04",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VT",
"license": "042-0015412",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "OR",
"license": "MD221814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hermiston, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.