SPECTRUM YOUTH AND FAMILY SERVICES, INC. (NPI# 1164556726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164556726 |
| Entity Type | Organization |
| Organization Name | SPECTRUM YOUTH AND FAMILY SERVICES, INC. |
| Practice Address |
31 Elmwood Ave Burlington VT 05401-4347 |
| Practice Telephone | 8028647423 |
| Practice Fax Number | 8026600576 |
| Mailing Telephone | 8028647423 |
| Mailing Fax Number | 8026600576 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2010-12-07 |
| Authorized Official Name | MR. MARK REDMOND (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8028647423 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1006363 | 05 | |
| VT | BLUE CROSS BLUE SHIELD | 28311 | 01 |
| Street Address |
31 ELMWOOD AVE |
| City | BURLINGTON |
| State | VT |
| Zip Code | 05401-4347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959751 | Lauren May Grant | Clinic/Center | 31 Elmwood Ave, Burlington, VT 05401-4347 | 2020-10-09 |
| 1962064253 | Neera B.k. | Counselor | 31 Elmwood Ave, Burlington, VT 05401-4347 | 2019-07-08 |
| 1073082566 | Alyxandra Herbert | Counselor | 31 Elmwood Ave, Burlington, VT 05401-4347 | 2018-11-14 |
| 1043721384 | William Kraman | Counselor | 31 Elmwood Ave, Burlington, VT 05401-4347 | 2017-10-13 |
| 1710406566 | Nerzada Turan | Counselor | 31 Elmwood Ave, Burlington, VT 05401-4347 | 2017-09-13 |
| 1316312838 | Megan Holleran | Counselor | 31 Elmwood Ave, Burlington, VT 05401-4347 | 2015-12-09 |
| 1962870758 | Kristen Vogel | Counselor | 31 Elmwood Ave, Burlington, VT 05401-4347 | 2015-09-10 |
| 1144597568 | Jody Lynn Kamon | Counselor | 31 Elmwood Ave, Burlington, VT 05401-4347 | 2011-11-30 |
| 1780972976 | Marissa Ritz | Counselor | 31 Elmwood Ave, Burlington, VT 05401-4347 | 2011-07-21 |
| 1598066722 | Jeffery M Nowlan | Counselor | 31 Elmwood Ave, Burlington, VT 05401-4347 | 2010-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626748 | John Henry Priester Jr. | Student in an Organized Health Care Education/Training Program | University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 | 2020-03-27 |
| 1730649054 | Parisa Heidari | Student in an Organized Health Care Education/Training Program | Uvmmc 111 Colchester Avenue, Burlington, VT 05401 | 2019-03-22 |
| 1689141988 | No Diet Dietitian, LLC | Dietitian, Registered | 163 Bayberry Circle #204, Burlington, VT 05401 | 2018-10-25 |
| 1073097267 | Katherine Dwyer | Physical Therapist | 128 Lakeside Ave, Burlington, Vt, 05401, Burlington, VT 05401 | 2018-09-24 |
| 1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
| 1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
| 1356845416 | Rachel Carlson | Student in an Organized Health Care Education/Training Program | Uvmmc, 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-22 |
| 1487152096 | Garnet Transport Medicine, LLC | Ambulance | 70 S Winooski Ave Ste 255, Burlington, VT 05401 | 2018-01-29 |
| 1689172660 | Valerie Goldberg | Dietitian, Registered | 163 Bayberry Circle Apt 204, Burlington, VT 05401 | 2018-01-25 |
| 1548774235 | Emily R Day | Physical Therapist | 160 Flynn Avenue, Burlington, VT 05401 | 2017-11-17 |
| Find all providers in zip 05401 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312872 | Ellen Barton | Counselor | Skagit Community Detox, 201 Lila Lane, Burlington, WA 98233 | 2020-06-25 |
| 1285257899 | Kimberly T Scott | Counselor | 1870 Dixon Swimming Pool Rd, Burlington, NC 27217-8587 | 2020-05-19 |
| 1700412624 | Amanda K Parnell | Counselor | 260 W Davis St Ste D, Burlington, NC 27215-3707 | 2020-03-23 |
| 1770120594 | Shawn Rhodes | Counselor | 1000-t High St, Burlington, NJ 08016-4633 | 2019-12-01 |
| 1992341382 | Gracepoint Recovery Services | Counselor | The Gregory Business Center, 154 Huffman Mill Roal, Burlington, NC 27215 | 2019-11-21 |
| 1518517226 | Harold Mcnerney | Counselor | 355 10th St, Burlington, CO 80807-1820 | 2019-09-14 |
| 1083127294 | Janice E Lee | Counselor | 331 Hale St, Burlington, NC 27217-3114 | 2017-11-09 |
| 1679092027 | Emilee Elizabeth Mason | Counselor | 614 Peterson Rd # 200, Burlington, WA 98233-2606 | 2017-09-18 |
| 1366960395 | Sarah Victoria Steenbeek | Counselor | 71 Harrison Ave, Burlington, VT 05401-5240 | 2017-08-30 |
| 1376066423 | Jonathan Ayers | Counselor | 150 Cherry St, Burlington, VT 05401-3818 | 2017-07-20 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 05401 |
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| 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.