SAMUEL EVENSON M.D. – NPI #1124559075
Psychiatry & Neurology

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

SAMUEL EVENSON is a psychiatry & neurologist located in MONTPELIER, VT. NPPES has assigned the NPI number 1124559075 to SAMUEL EVENSON on March 22, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 2084P0800X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Psychiatry

The NPI profile was last updated on Mar 18, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAMUEL EVENSON below.

NPI Profile for
SAMUEL EVENSON

NPI Number
1124559075
Enumeration Date

(more than 9 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SAMUEL EVENSON
Credentials
M.D.
Primary location
350 FISHER RD
MONTPELIER, VT 05633-7901
Phone: (802) 828-3300 Fax: (802) 828-2749
3 Other location(s):
130 Fisher Rd Unit 1
Berlin, VT 05602-8132
Phone: (802) 371-4316
111 Colchester Ave
Burlington, VT 05401-1473
Phone: (802) 847-2345
115 Porter Dr
Middlebury, VT 05753-8629
Phone: (802) 338-4430
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Mar 18, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SAMUEL EVENSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidNY06549893
medicaidVT1030302
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0800X
- Psychiatry & Neurology / Psychiatry (Primary)
VT 042.0014480

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.