Active NPI
Daniel Robert Mitchell, PH.D
- Counseling Psychologist
- Montpelier, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 048.0058348
- Practice address
- 156 Main St
Montpelier, VT 05602-2702 - Phone
- (802) 223-4738
- Fax
- (802) 223-6067
- NPI assigned
- Jul 28, 2008
- Last updated
- Mar 23, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 004067 | NY | |
| Counseling Psychologist | 103TC1900X | 048.0058348 | VT | Primary |
Addresses
Primary practice location
156 Main St
Montpelier, VT 05602-2702
Mailing address
PO Box 547
Att: CVMC Finance Dept
Barre, VT 05641-0547
Phone (802) 223-4738
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1024491 | 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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
156 Main St
Montpelier, VT 05602-2702
Phone (802) 223-4738
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004067 | NY | MD | Internal Medicine Physician |
| 018459 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Vermont Medical Center Inc | Current | Accepting new patients |
Locations
130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400
156 Main St
Montpelier, VT 05602
Phone (802) 223-4738
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Berlin, VT
- NPI 1023028784
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Berlin, VT
- NPI 1508845637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427068800000",
"number": "1982869111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 547",
"address_2": "ATT: CVMC FINANCE DEPT",
"city": "BARRE",
"state": "VT",
"postal_code": "056410547",
"telephone_number": "802-223-4738",
"fax_number": "802-223-6067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 MAIN ST",
"city": "MONTPELIER",
"state": "VT",
"postal_code": "056022702",
"telephone_number": "802-223-4738",
"fax_number": "802-223-6067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "DANIEL",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-28",
"last_updated": "2015-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "004067",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "VT",
"license": "048.0058348",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1024491",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montpelier, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.