JOHN X DOU PSY. MA
NPI 1336339910
Psychologist - Clinical in Saint Albans, VT

Active since July 30, 2007PECOS EnrolledAccepts Medicare Assignment
107 FISHER POND RD, SAINT ALBANS, VT 05478(802) 524-6555(802) 524-6562 Get Directions Write a Review

NPPES record last updated: July 30, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About John X Dou Psy. Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN X DOU PSY. MA (NPI 1336339910) is an individual clinical provider in Saint Albans, Vermont, licensed in Vermont (047-0000730) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1336339910
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameJOHN X DOUCredential: PSY. MA
Location Address107 FISHER POND RDSaint Albans, VT 05478-6286
Mailing Address18 Adams StSaint Albans, VT 05478-2135
Fax(802) 524-6562
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 30, 2007
✔ NPI 1336339910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in VT · 047-0000730
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
107 FISHER POND RD, Saint Albans, VT 05478

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John X Dou Psy. Ma is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113469883
PECOS Enrollment IDI20240610001378
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show John Dou reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
107 FISHER POND RD
Saint Albans, VT 05478
  • Reassigned Medicare billing, Vermont enrollment
  • 36 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05478 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.48 typical visit price
range $55.80 – $168.48
Typical copayment $42.12 (range $13.95 – $42.12)
Most-billed visit code 99205
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
107 FISHER POND RD
SAINT ALBANS, VT 05478
Early Intervention Provider Agency
107 FISHER POND RD
SAINT ALBANS, VT 05478
Social Worker (Clinical)
107 FISHER POND RD
ST ALBANS, VT 05478
Counselor (Mental Health)
107 FISHER POND RD
SAINT ALBANS, VT 05478
Community Health Worker
107 FISHER POND RD
SAINT ALBANS, VT 05478
Case Manager/Care Coordinator
107 FISHER POND RD
SAINT ALBANS, VT 05478
Community Health Worker
107 FISHER POND RD
SAINT ALBANS, VT 05478
Community Health Worker
107 FISHER POND RD
SAINT ALBANS, VT 05478

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Dou's NPI number?

The NPI number for John Dou is 1336339910. It was assigned to this individual provider in the NPPES registry on July 30, 2007.

Where is John Dou located?

John Dou practices at 107 Fisher Pond Rd, Saint Albans, VT 05478. The listed phone number is (802) 524-6555.

What is John Dou's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is John Dou enrolled in Medicare?

Yes. John Dou is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for John Dou's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Dou reassigns Medicare benefits to Northwestern Counseling & Support Services Inc (Saint Albans, VT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Dou's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Dou accept?

Health plans from Anthem Blue Cross and Blue Shield list John Dou as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Dou was last updated on July 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.