Active NPI
John Merrill Severinghaus, M.D.
- Internal Medicine Physician
- Bradford, VT
National Provider Identifier
1891839403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G36863
- Practice address
- 2122 Lower PLN
Merry Meadow Farm
Bradford, VT 05033-8936 - Phone
- (802) 222-4412
- Fax
- (802) 222-5422
- NPI assigned
- Feb 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G36863 | CA | Primary |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 7237 | NH | |
| Psychiatry Physician | 2084P0800X | 7237 | NH | |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | VT | ||
| Psychiatry Physician | 2084P0800X | VT |
Addresses
Primary practice location
2122 Lower PLN
Merry Meadow Farm
Bradford, VT 05033-8936
Mailing address
PO Box 234
Norwich, VT 05055-0234
Phone (802) 649-1323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00009936 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G36863 | CA | MD | Internal Medicine Physician |
| 7237 | NH | MD | Psychiatry Physician |
| 420008270 | VT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merry Meadow Farm | Past | Accepting new patients |
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.
-
- Psychiatric Residential Treatment Facility
- Bradford, VT
- NPI 1073898987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1891839403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 234",
"city": "NORWICH",
"state": "VT",
"postal_code": "050550234",
"telephone_number": "802-649-1323",
"fax_number": "802-649-1323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2122 LOWER PLN",
"address_2": "MERRY MEADOW FARM",
"city": "BRADFORD",
"state": "VT",
"postal_code": "050338936",
"telephone_number": "802-222-4412",
"fax_number": "802-222-5422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEVERINGHAUS",
"first_name": "JOHN",
"middle_name": "MERRILL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G36863",
"primary": true
},
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "NH",
"license": "7237",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NH",
"license": "7237",
"primary": false
},
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "VT",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VT",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00009936",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bradford, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.