Individual provider Active NPI

Patricia A Daly, MD

  • Psychiatry Physician
  • Hartford, VT
National Provider Identifier
1578583142
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
042-0010682 Issued in VT
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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 17 clinicians

Practice addresses (Care Compare)

181 Crawford Rd
Derby, VT 05829
Phone (802) 334-6744

Hospital & facility affiliations

  • Northeastern Vermont Regional Hospital Hospital, Saint Johnsbury, VT, CCN 471303

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
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
042-0010682VTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Kingdom Human Services Inc CurrentSince Jul 15, 2024 Accepting new patients

Locations

2225 Portland St
St Johnsbury, VT 05819
Phone (802) 748-3181

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 042-0010682 VT Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
1010324MedicaidVT

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

Verify at the official NPI Registry.