JOHN X DOU (PSY. MA) – Clinical Psychologist, NPI 1336339910

JOHN X DOU (PSY. MA) is a healthcare provider. based in Saint albans, Vermont. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials PSY. MA. They hold a License No. 047-0000730 (VT). The NPI Number for JOHN X DOU (PSY. MA) is 1336339910

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
JOHN X DOU (PSY. MA)
NPI
1336339910
Phone
(802) 524-6555
Address
107 FISHER POND RD
Enumeration Date
30 July 2007
Last Update Date
30 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8023936412
Graduation Year
2003 (23 years ago)
PAC ID
7113469883
Group Practice PAC ID
3678545159
Professional Enrollment ID
I20240610001378
Address ID
VT054786286SA107XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

357 MENTAL HEALTH COUNSELOR in VT

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Provider Addresses for JOHN X DOU (PSY. MA)

  • Fisher Pond Road, Saint Albans, Franklin County, Vermont, 05478, United States

    SAINT ALBANS, VT 054786286

    Phone: (802) 524-6555

    Fax: (802) 524-6562

    Type: Location

  • 18, Adams Street, Saint Albans, Franklin County, Vermont, 05478, United States

    SAINT ALBANS, VT 054782135

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240610001378IMental Health CounselorVTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 05478)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678545159View full group profile
NameSpecialtyState
Nurse PractitionerVT
Mental Health CounselorVT
Clinical Social WorkerCT
Clinical Social WorkerVT
-VT
Mental Health CounselorVT
-VT
Clinical Social WorkerVT
Mental Health CounselorFL
Clinical Social WorkerVT

Reviews

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Frequently asked questions

How do payers reference JOHN X DOU (PSY. MA)?
For JOHN X DOU (PSY. MA), use NPI 1336339910 as the unique 10-digit identifier.
Active or inactive — what applies to JOHN X DOU (PSY. MA)?
You should see JOHN X DOU (PSY. MA) as active in CMS-hosted NPPES data.
What area of care is associated with JOHN X DOU (PSY. MA)?
JOHN X DOU (PSY. MA)'s record emphasizes Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JOHN X DOU (PSY. MA)?
Travel planning: use Saint Albans, Vermont as the reference point for JOHN X DOU (PSY. MA), then confirm.
Can I trust this NPI listing for JOHN X DOU (PSY. MA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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