STATE OF VERMONT-DEPARTMENT OF MENTAL HEALTH (NPI# 1043567977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043567977 |
| Entity Type | Organization |
| Organization Name | STATE OF VERMONT-DEPARTMENT OF MENTAL HEALTH |
| Other Organization Name | VERMONT PSYCHIATRIC CARE HOSPITAL |
| Practice Address |
350 Fisher Road Berlin VT 05633-7901 |
| Mailing Address |
280 State Drive Nob 2 North Waterbary VT 05671-2010 |
| Practice Telephone | 8028283300 |
| Practice Fax Number | 8028282587 |
| Mailing Telephone | 8022410090 |
| Mailing Fax Number | 8028283823 |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2019-11-04 |
| Authorized Official Name | SHANNON THOMPSON (FINANCIAL DIRECTOR IV) |
| Authorized Official Telephone | 8022410118 |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE OF VERMONT -DEPARTMENT OF MENTAL HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| Vermont Psychiatric Care Hospital | Doing Business As Name - Organization |
| Street Address |
350 FISHER ROAD |
| City | BERLIN |
| State | VT |
| Zip Code | 05633-7901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245391325 | Marc Allen Semprebon | Pharmacist | 350 Fisher Road, Vermont Psychiatric Care Hospital, Berlin, VT 05602 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649667593 | David Yonatan Harari | Psychiatry & Neurology | 350 Fisher Rd, Montpelier, VT 05633 | 2015-04-17 |
| 1518394212 | State of Vermont | Community Based Residential Treatment Facility, Mental Illness | 1076 Us Rte 2, Middlesex, VT 05633-7801 | 2013-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183030 | Adrienne Lara Fedyna Dembeck | Specialist/Technologist | 211 New Britain Rd Ste 101, Berlin, CT 06037-3167 | 2020-10-27 |
| 1235738873 | Alexander W Morgan | Dietetic Technician, Registered | 100 Russell Ave, Berlin, NJ 08009-9658 | 2020-10-24 |
| 1053910067 | Mary Ellen F Pumper | Pharmacist | 861 County Rd F, Berlin, WI 54923 | 2020-10-21 |
| 1295334571 | Coastline Medical LLC | Durable Medical Equipment & Medical Supplies | 9928 Old Ocean City Blvd Ste 10, Berlin, MD 21811-1170 | 2020-10-19 |
| 1477152825 | Sanjib Nandi | Pharmacist | N8627 Red Tail Hawk Blvd, Berlin, WI 54923-8816 | 2020-10-17 |
| 1588278253 | Heather Vaughan-pignatella | Specialist/Technologist, Other | 39a Webster Square Rd, Berlin, CT 06037-2349 | 2020-09-01 |
| 1881206118 | Annika Hogan | Behavior Technician | 162 Lyman Rd, Berlin, MA 01503-1803 | 2020-08-18 |
| 1811509482 | Molly Anne Powell | Nurse Practitioner | 222 Stockton Blvd, Berlin, NJ 08009-7111 | 2020-08-17 |
| 1275144693 | Brandon M O'brien | Home Health Aide | 10226 Old Ocean City Blvd Unit 2, Berlin, MD 21811-1196 | 2020-08-10 |
| 1831707744 | Sarah R Aronson | Acupuncturist | 117 Lyman Rd, Berlin, MA 01503-1802 | 2020-07-16 |
| Find all providers in BERLIN | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730185232 | Brattleboro Retreat | Psychiatric Hospital | Anna Marsh Lane, Brattleboro, VT 05301 | 2005-06-21 |
| 1861749913 | Brattleboro Retreat | Psychiatric Hospital | 1 Anna Marsh Lane, Brattleboro, VT 05301-0101 | 2012-08-08 |
| 1255536991 | Brattleboro Retreat | Psychiatric Hospital | Anna Marsh Lane, Brattleboro, VT 05301 | 2007-06-20 |
| 1164627808 | Brattleboro Retreat | Psychiatric Hospital | Anna Marsh Lane, Brattleboro, VT 05301 | 2007-06-20 |
| 1073636700 | Springfield Hospital Inc. | Psychiatric Hospital | 18 Old Terrace, Bellows Falls, VT 05101 | 2007-04-09 |
Please comment or provide details below to improve the information on STATE OF VERMONT-DEPARTMENT OF MENTAL HEALTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.