Active NPI
David Richard Mooney, MD
- Psychiatry Physician
- Burlington, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 042-0011030
- Practice address
- 617 Riverside Ave
Burlington, VT 05401-1601 - Phone
- (802) 864-6309
- Fax
- (802) 860-4324
- NPI assigned
- Feb 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 042-0011030 | VT | Primary |
Addresses
Primary practice location
617 Riverside Ave
Burlington, VT 05401-1601
Mailing address
617 Riverside Ave
Burlington, VT 05401-1601
Phone (802) 864-6309
Other practice location 1
130 Fisher Rd
Psychiatry Unit
Berlin, VT 05602-9516
Phone (802) 371-4316
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29867 | Other | VT | BCBS |
| 1011917 | Medicaid | VT |
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
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Centers of Burlington Inc
Practice addresses (Care Compare)
617 Riverside Ave
Burlington, VT 05401-1601
Phone (802) 864-6309
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0011030 | VT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of Burlington Inc | Current | Accepting new patients | |
| Central Vermont Medical Center Inc | Psychiatry | Current | Accepting new patients |
| North Country Hospital & Health Center Inc | Current | Accepting new patients | |
| Central Vermont Medical Center Inc | Psychiatry | Current | Accepting new patients |
| North Country Hospital & Health Center Inc | Current | Accepting new patients | |
| Northeast Kingdom Human Services Inc | Current | Accepting new patients | |
| North Country Hospital & Health Center Inc | Current | Accepting new patients | |
| North Country Behavioral Medicine PLLC | Psychiatry | Current | Accepting new patients |
| University of Vermont Medical Center Inc | Current | Accepting new patients | |
| Community Health Centers of Burlington Inc | Current | Accepting new patients | |
| Citizen Advocates, Inc | Past | Accepting new patients |
Locations
8 Broad St
Plattsburgh, NY 12901
Phone (518) 563-8880
130 Fisher Rd
Barre, VT 05641
Phone (802) 371-4235
130 Fisher Rd
Berlin, VT 05602
Phone (802) 225-5820
617 Riverside Ave
Burlington, VT 05401
Phone (802) 264-8158
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
189 Prouty Dr
Newport, VT 05855
Phone (802) 334-3569
186 Medical Village Dr
Newport, VT 05855
Phone (802) 334-3520
186 Medical Village Dr
#1
Newport, VT 05855
Phone (802) 334-3262
107 Fisher Pond Rd
Saint Albans, VT 05478
Phone (802) 393-6412
2225 Portland St
St Johnsbury, VT 05819
Phone (802) 748-3181
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4a15a283-6747-4ef7-984f-ce0e904fd6f0/
- david.mooney.p1@direct.chcb.nextgenshare.com
Organizations & group practices 12
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.
-
- Family Medicine Physician
- Burlington, VT
- NPI 1689678963
-
- Internal Medicine Physician
- Newport, VT
- NPI 1417023904
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Newport, VT
- NPI 1043372709
-
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
-
- Community/Behavioral Health Agency
- Saint Albans, VT
- NPI 1063501476
-
- Community/Retail Pharmacy
- South Burlington, VT
- NPI 1659190924
-
- Rural Health Clinic/Center
- Barton, VT
- NPI 1104868892
-
- Obstetrics & Gynecology Physician
- Newport, VT
- NPI 1295868008
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Malone, NY
- NPI 1780619064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760745600000",
"number": "1609841881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 RIVERSIDE AVE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011601",
"telephone_number": "802-864-6309",
"fax_number": "802-860-4324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 RIVERSIDE AVE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011601",
"telephone_number": "802-864-6309",
"fax_number": "802-860-4324"
}
],
"practiceLocations": [
{
"address_1": "130 Fisher Rd",
"address_2": "Psychiatry Unit",
"address_purpose": "LOCATION",
"city": "Berlin",
"state": "VT",
"postal_code": "056029516",
"country_code": "US",
"telephone_number": "802-371-4316",
"fax_number": "802-371-4579",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOONEY",
"first_name": "DAVID",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2025-10-18",
"certification_date": "2025-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VT",
"license": "042-0011030",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "29867",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1011917",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.
- 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.