Percy Ballantine, MD
Individual provider Active NPI Psychiatry Physician · Brattleboro, VT
NPI 1871580779 · NPPES record last updated Jul 17, 2026
Key facts
- NPI
- 1871580779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 042-0005715 (VT)
- Practice address
- Anna Marsh Lane
Brattleboro, VT 05302-0803 - Phone
- (802) 257-7785
- NPI assigned
- Oct 5, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- University of Cincinnati College of Medicine, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Riverbend Community Mental Health, Inc
Practice addresses (Care Compare)
250 Pleasant St
Concord, NH 03301-7559
Phone (603) 228-7200
Hospital & facility affiliations
- Concord Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100526000139 | NH | Practitioner - Psychiatry | 6800925140 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0005715 | VT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverbend Community Mental Health, Inc. | Current |
Accepting new patients | |
| Brattleboro Retreat | Past | Accepting new patients | |
| Concord Hospital, Inc. | Past | Accepting new patients |
Locations
250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 042-0005715 | VT | |
| Psychiatry Physician | 2084P0800X | 042-0005715 | VT | Yes |
Addresses
Primary practice location
Anna Marsh Lane
Brattleboro, VT 05302-0803
Mailing address
250 Pleasant St
Concord, NH 03301-7559
Phone (603) 415-6624
Other practice location 1
250 Pleasant St
Concord, NH 03301-2598
Phone (603) 227-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VT 0006779 | Medicaid | VT |
Other providers in Brattleboro, VT
- Awr Associates, LLC
- John Baker
- Katherine Jane Baker
- Susan Balaban
- Kristen Mary Bald
- Sarah Joy Ballou
- Heather L Baribault
- Lydia M Barnes
- Shaun M Barnes
- James Bartingale
All providers in Brattleboro, VT · Psychiatry Physician 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 17, 2026. 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.