Active NPI
Susan Leigh Deppe, MD
- Psychiatry Physician
- Colchester, VT
National Provider Identifier
1629112859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 042-0007332
- Practice address
- 1565 Colchester Point Rd
Colchester, VT 05446-6669 - Phone
- (802) 658-7441
- Fax
- (802) 658-7441
- NPI assigned
- Feb 19, 2007
- Last updated
- Mar 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 042-0007332 | VT | Primary |
Addresses
Primary practice location
1565 Colchester Point Rd
Colchester, VT 05446-6669
Mailing address
PO Box 671
Colchester, VT 05446-0671
Phone (802) 658-7441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00006394 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091211000113 | VT | Practitioner - Psychiatry | 9739229402 | Practice locations: Colchester, VT |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1565 Colchester Point Rd
Colchester, VT 05446-6669
Phone (802) 658-7441
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0007332 | VT | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711756800000",
"number": "1629112859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 671",
"city": "COLCHESTER",
"state": "VT",
"postal_code": "054460671",
"telephone_number": "802-658-7441",
"fax_number": "802-658-7441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1565 COLCHESTER POINT RD",
"city": "COLCHESTER",
"state": "VT",
"postal_code": "054466669",
"telephone_number": "802-658-7441",
"fax_number": "802-658-7441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPPE",
"first_name": "SUSAN",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2024-03-30",
"certification_date": "2024-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VT",
"license": "042-0007332",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00006394",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colchester, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2024; 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.