Active NPIIndividual provider

Dr. Samuel Evenson, MD

Psychiatry & Neurology, Psychiatry in Montpelier, Vermont

NPI Number1124559075
Practice location
350 Fisher RD, Montpelier, VT 05633-7901
Fax
802-828-2749
Last updated
March 18, 2026

Samuel Evenson is a Psychiatry & Neurology, Psychiatry based in Montpelier, VT. Samuel Evenson practices in Montpelier, VT and has the professional credentials of MD. The NPI Number for Samuel Evenson is 1124559075 and holds a License No. 042.0014480 (VT). The current practice location address for Samuel Evenson is 350 Fisher RD, Montpelier, VT 05633-7901 and can be reached out via phone at 802-828-3300 and via fax at 802-828-2749.

Provider Profile Details

NPI Number
1124559075
Provider Name
Samuel Evenson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
350 Fisher RD, Montpelier, VT 05633-7901
Phone Number
802-828-3300
Fax Number
802-828-2749
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
No
Provider Enumeration Date
March 22, 2017
Last Update Date
March 18, 2026
Certification Date
March 18, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
350 Fisher RD
Montpelier, VT 05633-7901
State
Vermont
Zip
05633-7901
Phone Number
802-828-3300
Fax Number
802-828-2749
Montpelier, VT 05633Get directions →

Provider Business Mailing Address Details

Address
350 Fisher RD
Montpelier, VT 05633-7901
City
Montpelier
State
VT
Zip
05633-7901
Phone Number
802-828-3300
Fax Number
802-828-2749

License Information

License Number
042.0014480
License State
VT
Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Samuel Evenson, MD?

The NPI number of Dr. Samuel Evenson, MD is 1124559075. It was assigned on March 22, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. Samuel Evenson, MD?

Dr. Samuel Evenson, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in VT under license number 042.0014480.

Where does Dr. Samuel Evenson, MD practice?

The practice location is 350 Fisher RD, Montpelier, VT 05633-7901. The office can be reached at 802-828-3300 (phone) or 802-828-2749 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124559075 directly on the NPPES registry website.

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