DR. MICHAEL BLAISE PRZYDZIELSKI MD NPI 1124249735

NPI Information

NPI: 1124249735
Provider Name: DR. MICHAEL BLAISE PRZYDZIELSKI, MD
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

PECOS Registration: Yes

Address:
49 SCHOOL ST.
HCRS
HARTFORD, VT
ZIP 05047
Phone: (802) 295-3031
Get Directions

DR. Michael Blaise Przydzielski, MD is a child and adolescent psychiatry psychiatry neurology in Hartford, VT. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. Michael Blaise Przydzielski, MD NPI is 1124249735. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

49 SCHOOL ST.
HCRS
HARTFORD, VT
ZIP 05047-709
Phone: (802) 295-3031

The NPI 1124249735 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 7/20/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry	042.0012022	VERMONT	No
2	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	15847	NEW HAMPSHIRE	No
3	2084P0800X	Psychiatry & Neurology	Psychiatry	15847	NEW HAMPSHIRE	No
4	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	0420012022	VERMONT	No
5	2084P0800X	Psychiatry & Neurology	Psychiatry	0420012022	VERMONT	No
6	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	042.0012022	VERMONT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3088049	MEDICAID	VERMONT
2	00171604	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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