Individual provider Active NPI

Nathan Haskell, PSY.D.

  • Clinical Psychologist
  • Montpelier, VT
National Provider Identifier
1760034201
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
048.0134184 Issued in VT
Practice address
162 Elm St
Montpelier, VT 05602-2896
Phone
(802) 552-0145
NPI assigned
Jul 15, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 048.0134184 VT Primary

Addresses

Primary practice location

162 Elm St
Montpelier, VT 05602-2896

Mailing address

162 Elm St
Montpelier, VT 05602-2896
Phone (802) 552-0145

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190828002565 VT Practitioner - Clinical Psychologist 5092043026 Reassigns benefits to 1 organization
Practice locations: Montpelier, VT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

162 Elm St
Montpelier, VT 05602-2896
Phone (802) 917-2836

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048.0134184VTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
NC Psychotherapy LLC Clinical CurrentSince Jun 6, 2024 Accepting new patients

Locations

162 Elm St
Montpelier, VT 05602
Phone (802) 391-9002

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1760034201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 ELM ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056022896",
            "telephone_number": "802-552-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 ELM ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056022896",
            "telephone_number": "802-552-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASKELL",
        "first_name": "NATHAN",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "048.0134184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montpelier, VT

Sources for this page

Verify at the official NPI Registry.