Desiree Biesheuvel, MD
Individual provider Active NPI Child & Adolescent Psychiatry Physician · Windsor, VT
NPI 1629066352 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1629066352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child & Adolescent Psychiatry Physician 2084P0804X
- License
- 042-0010777 (VT)
- Practice address
- 289 County Rd
Windsor, VT 05089-9000 - Phone
- (802) 674-7300
- NPI assigned
- Oct 6, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Brattleboro Retreat
Practice addresses (Care Compare)
22 Anna Marsh LN
Dummerston, VT 05301-3292
Phone (802) 258-4391
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040716000524 | VT | Practitioner - Psychiatry | 2961481510 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0010777 | VT | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brattleboro Retreat | Past |
Accepting new patients |
Interoperability endpoints
- desireetbiescheuvel@mahhc.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 042-0010777 | VT | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 042-0010777 | VT | Yes |
Addresses
Primary practice location
289 County Rd
Windsor, VT 05089-9000
Mailing address
390 River St.
Springfield, VT 05156-2226
Phone (802) 886-4500
Other practice location 1
390 River St.
Springfield, VT 05156-2226
Phone (802) 886-4500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1010701 | Medicaid | VT | |
| T-0552 | Other | NH | TEMPORARY MEDICAL LICENSE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | desireetbiescheuvel@mahhc.cernerdirect.com | WINDSOR HOSPITAL CORPORATION | |
| Direct Messaging Address | desireetbiesheuvel@mahhc.cernerdirect.com |
Other providers in Windsor, VT
- Alicia Bautista
- Cheryl Anne Beaulieu
- Mary P Bender
- Jon David Bennett
- Susan F Bennett
- John A Bond
- George A Brothers Jr.
- Holly M Brown
- Jenna Mary Brown
- Akeem Ademola Busari
All providers in Windsor, VT · Child & Adolescent Psychiatry Physician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.