Adam J Pruett, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

042.0013999 Issued in VT

Practice address

4384 Main Street
Manchester, VT 05254-8945

Phone

(802) 768-9136

Fax

(802) 662-2173

NPI assigned

Dec 26, 2007

Last updated

Jun 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, SD, VT3 enrollments

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.

Enrollment records 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15682/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/21546/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir-myrecord.cerner.com/r4/6f43d0e7-6ff2-489b-abdc-44e8a5e0ca0a/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brattleboro Retreat

  • Psychiatric Hospital
  • Brattleboro, VT
  • NPI 1730185232
  Medicare reassignment NPD
• Springfield Medical Care Systems Inc.

  • Federally Qualified Health Center (FQHC)
  • Springfield, VT
  • NPI 1730336843
  Medicare reassignment NPD
• Regional Health Management Corporation

  • Psychiatry Physician
  • Anniston, AL
  • NPI 1639466584
  Medicare reassignment NPD
• The Health Care Authority of the City of Anniston

  dba Northeast Alabama Regional Medical Center

  • General Acute Care Hospital
  • Anniston, AL
  • NPI 1003996000
  Medicare reassignment NPD
• Taconic Integrative Psychiatric Services, PLLC

  • Psychiatry Physician
  • Manchester, VT
  • NPI 1881227452
  NPD Authorized official
• Monument Health Rapid City Hospital, Inc

  dba Monument Health Behavioral Health Center

  • Multi-Specialty Clinic/Center
  • Rapid City, SD
  • NPI 1275553463
  Medicare reassignment
• Springfield Medical Care Systems Inc

  • Federally Qualified Health Center (FQHC)
  • Springfield, VT
  • NPI 1457979130
  NPD
• Anniston Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Anniston, AL
  • NPI 1053387654
  NPD
• Monument Health Rapid City Hospital, Inc.

  dba Monument Health Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rapid City, SD
  • NPI 1487621116
  NPD
• Regional Health Management Corporation

  dba Roanoke Rural Health Clinic

  • Rural Health Clinic/Center
  • Roanoke, AL
  • NPI 1497041834
  NPD
• Regional Medical Center Board

  dba RMC Neurology

  • Neurology Physician
  • Anniston, AL
  • NPI 1093189375
  NPD
• The Health Care Authority of the City of Anniston

  dba Stringfellow Campus of Northeast Alabama Regional Medical Center

  • General Acute Care Hospital
  • Anniston, AL
  • NPI 1215976675
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1609050756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255",
            "city": "MANCHESTER",
            "state": "VT",
            "postal_code": "052540255",
            "telephone_number": "802-768-9136",
            "fax_number": "802-662-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4384 MAIN STREET",
            "city": "MANCHESTER",
            "state": "VT",
            "postal_code": "052548945",
            "telephone_number": "802-768-9136",
            "fax_number": "802-662-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUETT",
        "first_name": "ADAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-26",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "059863",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "28584",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "042.0013999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metta Healing, LLC
• Marion Miller-Rumney, F.N.P.
• Tamra F Mooney, OTR/L
• Pinkus Family Chiropractic
• Kathleen Pinkus, D.C.
• Philip Hostage Russell, D.M.D.
• Taconic Integrative Psychiatric Services, PLLC
• Patricia Ann Toth, M.A.
• Kathleen Anne Townsend
• Heidie Vazquez-Garcia, PH.D

• Psychiatry Physician in Manchester, VT
• Providers in Manchester, VT by specialty
• Psychiatry Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.

Verify at the official NPI Registry.