MEDICARE: DENALI PSYCHIATRY GROUP PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1053271577
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENALI PSYCHIATRY GROUP PLLC

Provider Business Mailing Address
First Line	:	1364 CREAMERY RD APT 4
Second Line	:
City	:	SOUTH RYEGATE
State	:	VT
Zip	:	05069-9006
Country	:	US
Telephone Number	:	802-274-8466
Fax Number	:

Provider Business Practice Location Address
First Line	:	1364 CREAMERY RD APT 4
Second Line	:
City	:	SOUTH RYEGATE
State	:	VT
Zip	:	05069-9006
Country	:	US
Telephone Number	:	802-274-8466
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JOSHUA STEWART BRITCH
Credential	:	PMHNP
Telephone Number	:	802-274-8466

Provider Enumeration Date	:	11/17/2025
Last Update Date	:	11/26/2025

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