Provider Demographics
NPI:1275587099
Name:STONE, JAMES SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:SCOTT
Last Name:STONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 MAIN ST
Mailing Address - Street 2:BOX 28, ROOM 18
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05602-2932
Mailing Address - Country:US
Mailing Address - Phone:802-223-2633
Mailing Address - Fax:802-225-8971
Practice Address - Street 1:73 MAIN ST APT 39
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-2987
Practice Address - Country:US
Practice Address - Phone:802-223-2633
Practice Address - Fax:802-225-8971
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT042.00087762084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0VN0643Medicaid
VT19099OtherVT BCBS
VTPR43257570001OtherCIGNA
VT0VN0643Medicaid
VT319973OtherMVP
VTSTVN0643Medicare ID - Type Unspecified
VT0VN0643Medicaid