Active NPI
Victoria Russell, MD
- Psychiatry Physician
- Morrisville, VT
National Provider Identifier
1730113812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 042-0009995
- Practice address
- Box 520
1986 Lower Elmore Mountain Road Box 520
Morrisville, VT 05661-0520 - Phone
- (802) 888-5955
- NPI assigned
- Jul 11, 2006
- 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 | 042-0009995 | VT | Primary |
Addresses
Primary practice location
Box 520
1986 Lower Elmore Mountain Road Box 520
Morrisville, VT 05661-0520
Mailing address
PO Box 520
1986 Lower Elmore Mountain Rd.
Morrisville, VT 05661-0520
Phone (802) 888-5955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0009995 | VT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brattleboro Retreat | Past | Accepting new patients | |
| Maine Behavioral Healthcare | Past | Accepting new patients | |
| Baystate Medical Practices, Inc | Psychiatry | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Institutional Pharmacy
- Brattleboro, VT
- NPI 1295947950
-
- Emergency Medical Services (Emergency Medicine) Physician
- Springfield, MA
- NPI 1548205909
Psychiatry
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Biddeford, ME
- NPI 1891733309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730113812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 520",
"address_2": "1986 LOWER ELMORE MOUNTAIN RD.",
"city": "MORRISVILLE",
"state": "VT",
"postal_code": "056610520",
"telephone_number": "802-888-5955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BOX 520",
"address_2": "1986 LOWER ELMORE MOUNTAIN ROAD BOX 520",
"city": "MORRISVILLE",
"state": "VT",
"postal_code": "056610520",
"telephone_number": "802-888-5955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "VICTORIA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VT",
"license": "042-0009995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morrisville, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.