Active NPI
Patricia A Daly, MD
- Psychiatry Physician
- Hartford, VT
National Provider Identifier
1578583142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 042-0010682
- Practice address
- 49 School St.
HCRS
Hartford, VT 05047 - Phone
- (802) 295-3031
- Fax
- (802) 886-4520
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- No
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Newport, VT
- NPI 1043372709
VT
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Primary Care Clinic/Center
- Lyndonville, VT
- NPI 1659459428
Hospital
-
- Critical Access Hospital
- St Johnsbury, VT
- NPI 1275576704
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Drexel University College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Northeast Kingdom Human Services Inc
Practice addresses (Care Compare)
181 Crawford Rd
Derby, VT 05829
Phone (802) 334-6744
Hospital & facility affiliations
- Northeastern Vermont Regional Hospital
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040326000121 | VT | Practitioner - Psychiatry | 2163314089 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0010682 | VT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Kingdom Human Services Inc | Current | Accepting new patients |
Locations
2225 Portland St
St Johnsbury, VT 05819
Phone (802) 748-3181
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 042-0010682 | VT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
49 School St.
HCRS
Hartford, VT 05047
Mailing address
390 River St.
HCRS
Springfield, VT 05156-2226
Phone (802) 886-4500
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1010324 | Medicaid | VT |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 24, 2011.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295827200000",
"number": "1578583142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 RIVER ST.",
"address_2": "HCRS",
"city": "SPRINGFIELD",
"state": "VT",
"postal_code": "051562226",
"telephone_number": "802-886-4500",
"fax_number": "802-886-4520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 SCHOOL ST.",
"address_2": "HCRS",
"city": "HARTFORD",
"state": "VT",
"postal_code": "05047",
"telephone_number": "802-295-3031",
"fax_number": "802-886-4520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALY",
"first_name": "PATRICIA",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2011-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VT",
"license": "042-0010682",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1010324",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; 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.