Active NPI
Anne N. Clegg, M.D.
- Psychiatry Physician
- Jericho, VT
National Provider Identifier
1851365811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 042-0010947
- Practice address
- 3561 Nashville Rd
Jericho, VT 05465-9503 - Phone
- (802) 656-3340
- Fax
- (802) 656-8022
- NPI assigned
- Feb 15, 2006
- Last updated
- Mar 7, 2014
- 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 | 042-0010947 | VT | Primary |
Addresses
Primary practice location
3561 Nashville Rd
Jericho, VT 05465-9503
Mailing address
3561 Nashville Rd
Jericho, VT 05465-9503
Phone (802) 656-3340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011735 | Medicaid | VT |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Service of Addison County, Inc | Current | Accepting new patients | |
| Rutland Hospital, Inc. | Past | Accepting new patients |
Locations
89 Main St
Middlebury, VT 05753
Phone (802) 388-6751
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Middlebury, VT
- NPI 1336278985
-
- Psychiatric Hospital Unit
- Rutland, VT
- NPI 1467416206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394150400000",
"number": "1851365811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3561 NASHVILLE RD",
"city": "JERICHO",
"state": "VT",
"postal_code": "054659503",
"telephone_number": "802-656-3340",
"fax_number": "802-656-8022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3561 NASHVILLE RD",
"city": "JERICHO",
"state": "VT",
"postal_code": "054659503",
"telephone_number": "802-656-3340",
"fax_number": "802-656-8022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEGG",
"first_name": "ANNE",
"middle_name": "N.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2014-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VT",
"license": "042-0010947",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1011735",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jericho, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; 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.