Active NPI
Daniel Portice, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Colchester, VT
National Provider Identifier
1831653302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 101.0139266
- Practice address
- 441 Watertower Cir Ste 200
Colchester, VT 05446-5801 - Phone
- (802) 404-1492
- NPI assigned
- Jan 29, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 244422-30 | WI | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 101.0139266 | VT | Primary |
Addresses
Primary practice location
441 Watertower Cir Ste 200
Colchester, VT 05446-5801
Mailing address
617 Riverside Ave
Burlington, VT 05401-1601
Phone (802) 540-8288
Other practice location 1
802 E Gorham St
Madison, WI 53703-1524
Phone (608) 280-4713
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2026
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
441 Watertower Cir
Suite 200
Colchester, VT 05446-5801
Phone (802) 404-1492
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 244422-30 | WI | MD | Registered Nurse |
| 101.0139266 | VT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Country Behavioral Medicine PLLC | Current | Accepting new patients |
Locations
441 Watertower Cir
#200
Colchester, VT 05446
Phone (802) 404-1492
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": "1548720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783814400000",
"number": "1831653302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 RIVERSIDE AVE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011601",
"telephone_number": "802-540-8288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 WATERTOWER CIR STE 200",
"city": "COLCHESTER",
"state": "VT",
"postal_code": "054465801",
"telephone_number": "802-404-1492"
}
],
"practiceLocations": [
{
"address_1": "802 E Gorham St",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537031524",
"country_code": "US",
"telephone_number": "608-280-4713",
"fax_number": "608-280-4707",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PORTICE",
"first_name": "DANIEL",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-29",
"last_updated": "2026-07-12",
"certification_date": "2026-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "244422-30",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VT",
"license": "101.0139266",
"primary": true
}
],
"identifiers": [],
"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 Jul 12, 2026; 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.