Unknown Individual – Psychiatry Physician, NPI 1477560811
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
100 Industrial Parkway
Keeseville, NY 12944
Phone: (518) 834-1188
Type: Location
91 Fay Brook Drive
Lake Clear, NY 12945
Phone: (518) 891-6565
Type: Location
63 1/2 S Main St
Norwood, NY 136683168
Phone: (315) 353-6618
Type: Location
279 New York Rd
Plattsburgh, NY 129034425
Phone: (518) 324-8651
Type: Location
9 Industrial Blvd
Plattsburgh, NY 129011910
Phone: (518) 563-0037
Type: Location
10 St Patrick Pl
Port Henry, NY 129741200
Phone: (518) 546-7151
Type: Location
6 Commerce Ln
Canton, NY 136173738
Phone: (315) 379-9571
Type: Location
111 Edgartown Road
Oak Bluffs, MA 02557
Phone: (508) 693-7900
Fax: (508) 696-0410
Type: Location
186, South Willard Street, Burlington, Chittenden County, Vermont, 05401, United States
BURLINGTON, VT 054013901
Phone: (802) 860-0163
Fax: (802) 860-0164
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 335 | 97 | $0 |
Insurance plans in this area (ZIP 12944)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VT | |
| Clinical Social Worker | VT | |
| Clinical Social Worker | VT | |
| - | VT | |
| Mental Health Counselor | VT | |
| - | VT | |
| Mental Health Counselor | VT | |
| Mental Health Counselor | VT | |
| Nurse Practitioner | VT | |
| Nurse Practitioner | VT |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.