TWIN STATE PSYCHOLOGICAL SERVICES
NPI 1356579775
Psychologist in Springfield, VT

Active since June 24, 2009
29 RIDGEWOOD RD, SPRINGFIELD, VT 05156(802) 885-5719(802) 885-5720 Get Directions Write a Review

NPPES record last updated: September 13, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Twin State Psychological Services NPPES

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

TWIN STATE PSYCHOLOGICAL SERVICES (NPI 1356579775), doing business as Richard W. Root Ii Dba Twin State Psychological Services, is a healthcare organization registered as a psychologist in Springfield, Vermont and active in the NPI registry since June 2009. The organization lists Richard W. Root, Owner, as its authorized official.

NPPES Registry Identity

NPI1356579775
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameTWIN STATE PSYCHOLOGICAL SERVICES
Location Address29 RIDGEWOOD RDSpringfield, VT 05156-3060
Mailing AddressPo Box 2003Springfield, VT 05156-2003 · (802) 885-5719 · Fax (802) 885-5720
Fax(802) 885-5720
Organization SubpartNo
Authorized OfficialRichard W. RootOwner · (802) 885-5719
Enumeration DateJune 24, 2009
Last NPPES UpdateSeptember 13, 2016
✔ NPI 1356579775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
29 RIDGEWOOD RD, Springfield, VT 05156

Other Names 1

Former Legal Business NameRichard W. Root Ii Dba Twin State Psychological Services

Other Identifiers 5

Medicare PIN0022506VT
Medicaid3080088NH
Medicare PIN0026543VT
Medicaid1016751VT
Medicare PIN002654301NH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Twin State Psychological Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateVermontEnrollment IDO20120611000537Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Twin State Psychological Services, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1902823636
29 RIDGEWOOD RD
Springfield, VT 05156
(802) 885-5719
✔ PECOS✔ Accepts Medicare0.1 mi

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

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 Twin State Psychological Services's NPI number?

The NPI number for Twin State Psychological Services is 1356579775. It was assigned to this organization in the NPPES registry on June 24, 2009. The provider was formerly known as Richard W. Root II Dba Twin State Psychological Services.

Where is Twin State Psychological Services located?

Twin State Psychological Services is located at 29 Ridgewood Rd, Springfield, VT 05156. The listed phone number is (802) 885-5719.

What is Twin State Psychological Services's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Twin State Psychological Services enrolled in Medicare?

Yes. Twin State Psychological Services is registered in the Medicare PECOS enrollment system.

When is Twin State Psychological Services's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Vermont, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Twin State Psychological Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Twin State Psychological Services. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Twin State Psychological Services accept?

Health plans from Ambetter from NH Healthy Families and Anthem Blue Cross and Blue Shield list Twin State Psychological Services 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 Twin State Psychological Services was last updated on September 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.