Active NPI
Dylan Hershkowitz, MD
- Psychiatry Physician
- Shelburne, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 042.0017013
- Practice address
- 145 Pine Haven Shores Rd Ste 1191
Shelburne, VT 05482-7821 - Phone
- (802) 899-0124
- Fax
- (855) 268-5333
- NPI assigned
- Jun 14, 2017
- Last updated
- Jun 23, 2025
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 323968 | NY | |
| Psychiatry Physician | 2084P0800X | MD17074 | RI | |
| Psychiatry Physician | 2084P0800X | LP04018 | RI | |
| Psychiatry Physician | 2084P0800X | 042.0017013 | VT | Primary |
Addresses
Primary practice location
145 Pine Haven Shores Rd Ste 1191
Shelburne, VT 05482-7821
Mailing address
420 Scrabbletown Rd Ste a
North Kingstown, RI 02852-3638
Phone (401) 258-5419
Other practice location 1
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000
Other practice location 2
345 Blackstone Blvd
Providence, RI 02906-4800
Phone (401) 455-6375
Other practice location 3
75 Beekman St
Plattsburgh, NY 12901-1427
Phone (518) 561-2000
Other practice location 4
1170 Pontiac Ave
Cranston, RI 02920-7944
Phone (401) 500-0424
Other practice location 5
130 Fisher Rd
Berlin, VT 05602-9516
Phone (802) 371-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD17074 | Other | RI | STATE MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, VT, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Vermont College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1170 Pontiac Ave
Cranston, RI 02920-7944
Phone (401) 268-5333
145 Pine Haven Shores Rd
Suite 1191
Shelburne, VT 05482-7821
Phone (802) 899-0124
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 323968 | NY | MD | Psychiatry Physician |
| MD17074 | RI | MD | Psychiatry Physician |
| 042.0017013 | VT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South County Psychiatry LLC | Psychiatry | Current | Accepting new patients |
| Central Vermont Medical Center Inc | Psychiatry | Current | Accepting new patients |
| Champlain Valley Physicians Hospital Medical Center | Psychiatry | Current | Accepting new patients |
| Rhode Island Hospital | Psychiatry | Current | Accepting new patients |
| The Miriam Hospital | Current | Accepting new patients | |
| The Miriam Hospital | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Psychiatry | Current | Accepting new patients |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| University of Vermont Medical Center Inc | Current | Accepting new patients | |
| Rhode Island Hospital | Current | Accepting new patients |
Locations
75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100
1170 Pontiac Ave
Cranston, RI 02920
Phone (401) 500-0424
420 Scrabbletown Rd
Ste A
North Kingstown, RI 02852
Phone (401) 268-5333
47 Danielson Pike
North Scituate, RI 02857
Phone (401) 258-5419
146 W River St
Ste 11C
Providence, RI 02904
Phone (401) 606-3000
164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104
345 Blackstone Blvd
Providence, RI 02906
Phone (401) 455-6375
593 Eddy St
Providence, RI 02903
593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280
130 Fisher Rd
Berlin, VT 05602
Phone (802) 225-5820
130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415
145 Pine Haven Shores Rd
Ste 1191
Shelburne, VT 05482
Phone (401) 268-5333
Organizations & group practices 10
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.
-
dba Uvm Medical Center
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
-
- Internal Medicine Physician
- Plattsburgh, NY
- NPI 1124189782
Psychiatry
-
dba Brown Health Medical Group
- Psychiatry Physician
- Providence, RI
- NPI 1548506793
-
dba Womens Medicine Collaborative
- Multi-Specialty Clinic/Center
- Providence, RI
- NPI 1164716031
-
dba Brown Health Medical Group
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- Cardiac Rehabilitation Clinic/Center
- East Greenwich, RI
- NPI 1518482389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1922538644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 SCRABBLETOWN RD STE A",
"city": "NORTH KINGSTOWN",
"state": "RI",
"postal_code": "028523638",
"telephone_number": "401-258-5419",
"fax_number": "855-268-5333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 PINE HAVEN SHORES RD STE 1191",
"city": "SHELBURNE",
"state": "VT",
"postal_code": "054827821",
"telephone_number": "802-899-0124",
"fax_number": "855-268-5333"
}
],
"practiceLocations": [
{
"address_1": "111 Colchester Ave",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "VT",
"postal_code": "054011473",
"country_code": "US",
"telephone_number": "802-847-0000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "345 Blackstone Blvd",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029064800",
"country_code": "US",
"telephone_number": "401-455-6375",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "75 Beekman St",
"address_purpose": "LOCATION",
"city": "Plattsburgh",
"state": "NY",
"postal_code": "129011427",
"country_code": "US",
"telephone_number": "518-561-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1170 Pontiac Ave",
"address_purpose": "LOCATION",
"city": "Cranston",
"state": "RI",
"postal_code": "029207944",
"country_code": "US",
"telephone_number": "401-500-0424",
"fax_number": "855-268-5333",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "130 Fisher Rd",
"address_purpose": "LOCATION",
"city": "Berlin",
"state": "VT",
"postal_code": "056029516",
"country_code": "US",
"telephone_number": "802-371-4100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERSHKOWITZ",
"first_name": "DYLAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-14",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "323968",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "RI",
"license": "MD17074",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "RI",
"license": "LP04018",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VT",
"license": "042.0017013",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "MD17074",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelburne, VT
- John F. Guerriere, D.C.
- Gregory P. Guilmartin, LICENSED OPTICIAN
- Carl J Gutierrez, M.D.
- Health in Focus: the Center for Chiropractic & Applied Kinesiology PLC
- David Kirke Hedden, M.D.
- Hobie Fuerstman DO PLC (Preventive Medicine)
- Holly B Maier DMD PC (Shelburne Village Dentistry)
- Horizon Counseling, LLC
- Howard Center Inc (Lakeview)
- Chelsea Hoy, LICSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.