Unknown Individual – Child & Adolescent Psychiatry Physician, NPI 1417023573
Child & Adolescent Psychiatry Physician
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Provider Addresses for Unknown Individual
154, Duchess Avenue, Newport City, Orleans County, Vermont, 05855, United States
NORTHEAST KINGDOM HUMAN SERVICES
NEWPORT, VT 058555516
Phone: (802) 334-6744
Fax: (802) 334-7340
Type: Location
724, Elm Tree Road, Newport, Town of Norway, Herkimer County, New York, 13416, United States
NORTHEAST KINGDOM HUMAN SERVICES
NEWPORT, VT 058550724
Phone: (802) 334-6744
Fax: (802) 334-7340
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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.
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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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 162 | 85 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 28 | 25 | $0 |
Insurance plans in this area (ZIP 05855)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | VT | 90853 | Group psychotherapy | 512 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VT | |
| - | NH | |
| - | VT | |
| Nurse Practitioner | VT | |
| Nurse Practitioner | VT | |
| Mental Health Counselor | VT | |
| Mental Health Counselor | VT | |
| Mental Health Counselor | VT | |
| P S Y C H I A T R Y | VT | |
| Clinical Social Worker | VT |
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