Individual provider Active NPI

Dustin Dippen, MD

  • Psychiatry Physician
  • Middlebury, VT
National Provider Identifier
1881936177
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
042.0013408 Issued in VT
Practice address
99 Maple St Ste 14
Middlebury, VT 05753-1231
Phone
(802) 316-8693
Fax
(608) 360-9104
NPI assigned
Mar 25, 2013
Last updated
Apr 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 67066 WI
Psychiatry Physician 2084P0800X DR.0062327 CO
Psychiatry Physician 2084P0800X 042.0013408 VT Primary

Addresses

Primary practice location

99 Maple St Ste 14
Middlebury, VT 05753-1231

Mailing address

99 Maple St Ste 14
Middlebury, VT 05753-1231
Phone (802) 316-8693

Other practice location 1

157 Towne Ave
Plainfield, VT 05667-9425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 16, 2019 through Dec 16, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0062327COMDPsychiatry Physician
042.0013408VTMDPsychiatry Physician
67066WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hummingbird Psychiatry Current Accepting new patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients
Hummingbird Integrative Mental Wellness Initiative Psychiatry Current Accepting new patients
Brattleboro Retreat Past Accepting new patients

Locations

1945 Lakepointe Dr
Ste 100
Lewisville, TX 75057
Phone (855) 224-7315

Interoperability endpoints

  • Direct secure messaging: ddippen630579@direct.uvmhealth.org
  • Direct secure messaging: dustindippen@tdh.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1881936177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 MAPLE ST STE 14",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531231",
            "telephone_number": "802-316-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 MAPLE ST STE 14",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531231",
            "telephone_number": "802-316-8693",
            "fax_number": "608-360-9104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "157 Towne Ave",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "VT",
            "postal_code": "056679425",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIPPEN",
        "first_name": "DUSTIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-25",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "67066",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "DR.0062327",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "042.0013408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, VT

Sources for this page

Verify at the official NPI Registry.