Craig R Vantuinen, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

042-0007844 Issued in VT

Practice address

2225 Portland Street
St Johnsbury, VT 05819

Phone

(802) 748-3181

Fax

(802) 748-0704

NPI assigned

Feb 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Northeast Kingdom Human Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newport, VT
  • NPI 1043372709
  Medicare reassignment NPD

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1699815365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 WINOOSKI STREET",
            "address_2": "PO BOX 78",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056760078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 PORTLAND STREET",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "05819",
            "telephone_number": "802-748-3181",
            "fax_number": "802-748-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANTUINEN",
        "first_name": "CRAIG",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "042-0007844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN0268",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naia Tower-Pierce, MSC
• Lynn Troy, PT
• David J Truslow, MSW
• William T. Turek, D.C.
• Tyler Dalton Turner, PHARMD, MPH
• Alexandra Varley
• Vermont Radiologists
• Krystine Villeneuve, M.S.
• Samanntha Lynn Villnave, PHARMD
• Joyce A Vitale, NP

• Psychiatry Physician in St Johnsbury, VT
• Providers in St Johnsbury, 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 13, 2012; 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.