Douglas Alan Flint, M.S. LICENSED PSYCHO
Individual provider Active NPI Group Psychotherapy Psychologist · Newport, VT
NPI 1699891671 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1699891671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Group Psychotherapy Psychologist 103TP2701X
- License
- 047-0000605 (VT)
- Practice address
- 494 Highland Ave Ste B
Newport, VT 05855-4912 - Phone
- (802) 334-1795
- Fax
- (802) 334-1795
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
194 Main St
Suite 216
Newport, VT 05855-6102
Phone (802) 334-1795
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050225000739 | VT | Practitioner - Clinical Psychologist | 0840243192 | Practice locations: Newport, VT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047-0000605 | VT | MD | Group Psychotherapy Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deering Counseling LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Group Psychotherapy Psychologist | 103TP2701X | 047-0000605 | VT | Yes |
Addresses
Primary practice location
494 Highland Ave Ste B
Newport, VT 05855-4912
Mailing address
494 Highland Ave Ste B
Newport, VT 05855-4912
Phone (802) 334-1795
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1008294 | Medicaid | VT |
Other providers in Newport, VT
- Family Infant and Toddler Program
- Karlene Farnsworth
- Alyssa Fay
- Jane Deering Fish
- Fitness Elite Physical Therapy LLC
- Debra Folsom
- Laurie Ann Fontaine
- Cynthia L Fort
- Francis L Pinard OD PC
- Freedom Physical Therapy, P.C
All providers in Newport, VT · Group Psychotherapy Psychologist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.