SHORTRIDGE ACADEMY (NPI# 1346792835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346792835 |
| Entity Type | Organization |
| Organization Name | SHORTRIDGE ACADEMY |
| Practice Address |
619 Governors Rd Milton NH 03851-4757 |
| Practice Telephone | 6037553096 |
| Practice Fax Number | 6037559096 |
| Mailing Telephone | 6037553096 |
| Mailing Fax Number | 6037559096 |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-10-31 |
| Authorized Official Name | CHRISTINA SMALLEY (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 6037553096 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Street Address |
619 GOVERNORS RD |
| City | MILTON |
| State | NH |
| Zip Code | 03851-4757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740242395 | Kathy B Patch | Nurse Practitioner | 619 Governors Rd, Milton, NH 03851-4757 | 2006-04-06 |
| 1912380825 | Christina Smalley | Counselor | 619 Governors Rd, Milton, NH 03851-4757 | 2015-07-09 |
| 1699098863 | Alison Wilson | Marriage & Family Therapist | 619 Governors Rd, Milton, NH 03851-4757 | 2010-03-02 |
| 1588816169 | Catherine Ganley Brown | Nurse Practitioner | 619 Governors Rd, Milton, NH 03851-4757 | 2008-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821505918 | Anthony Pedersen I | Occupational Therapist | 595 White Mountain Highway, Milton, NH 03851 | 2018-01-10 |
| 1346321502 | Town of Milton | Ambulance | 460 White Mtn Highway, Milton, NH 03851 | 2006-10-17 |
| 1386741197 | Thomas Frederick Frye | Psychologist | 448 White Mountain Highway, Tamworth, NH 03851 | 2006-09-20 |
| 1841415494 | Gail Beckwith-myrick | Physical Therapist | 42 Lakeside Drive, Milton, NH 03851-1417 | 2007-04-16 |
| 1952939142 | Laura Renee Dawes | Home Health Aide | 38 Dawson St, Milton, NH 03851-4547 | 2020-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002287 | Intervalcare Medical Services | Registered Nurse | 3601 Pebble Ln, Milton, FL 32583-2301 | 2020-10-27 |
| 1124628334 | Willie Edward Yeager | Technician | Rr 2 Box 374aa, Milton, WV 25541-9792 | 2020-10-27 |
| 1992304612 | Milton Hill Dental Pllc | Dentist | 99 Adams St, Milton, MA 02186-3413 | 2020-10-23 |
| 1275132169 | Ladonna Powell | Technician | 213 Summers Addition Apt 1, Milton, WV 25541-1549 | 2020-10-21 |
| 1285232967 | Amanda Darnell O'berry | Technician | 6531 Berryhill Rd, Milton, FL 32570-6822 | 2020-10-14 |
| 1992302269 | Bethany Ann Edwards | Social Worker | 34 Laurel Rd # 1, Milton, MA 02186-1522 | 2020-10-08 |
| 1255948709 | Boston Sensory Solutions | Speech-Language Pathologist | 500 Granite Ave Ste 2, Milton, MA 02186-5626 | 2020-09-29 |
| 1982211637 | Lakeia Wiles | Home Health | 17327 Harbeson Rd, Milton, DE 19968-2832 | 2020-09-27 |
| 1235746934 | Alexandra R Nelson Phd | Psychologist | 46 Gerald Rd, Milton, MA 02186-4769 | 2020-09-26 |
| 1063029916 | Brandon L Argent | Counselor | 6443 Churchill Cir, Milton, FL 32583-4012 | 2020-09-24 |
| Find all providers in MILTON | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043538523 | The Hartmann School | Residential Treatment Facility, Emotionally Disturbed Children | 768 Doetown Road, Rumney, NH 03266 | 2010-05-10 |
| 1235368218 | Spaulding Youth Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 130 Shedd Road, Northfield, NH 03276 | 2009-07-10 |
| 1720265531 | New England Salem Children's Trust | Residential Treatment Facility, Emotionally Disturbed Children | 768 Doetown Rd., Rumney, NH 03266 | 2008-01-23 |
| 1699951541 | Rolfe and Rumford Home | Residential Treatment Facility, Emotionally Disturbed Children | 23 Rundlett St, Concord, NH 03301-2223 | 2008-01-10 |
| 1396920344 | The Chase Home for Children | Residential Treatment Facility, Emotionally Disturbed Children | 698 Middle Rd, Portsmouth, NH 03801-4829 | 2008-01-08 |
| 1184812463 | Wediko Children's Services | Residential Treatment Facility, Emotionally Disturbed Children | 11 Bobcat Blvd, Windsor, NH 03244-7419 | 2007-10-11 |
| 1295936656 | Odyssey House, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 124 Landing Rd, Hampton, NH 03842-2603 | 2007-05-31 |
| 1295936730 | Odyssey House, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 30 Winnacunnet Rd, Hampton, NH 03842-2121 | 2007-05-31 |
| 1376756528 | Malley Farm Boys Home Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 250 Indigo Hill Rd, Somersworth, NH 03878-2917 | 2007-05-07 |
| 1215159694 | Tobey School | Residential Treatment Facility, Emotionally Disturbed Children | 45 S Fruit St, Concord, NH 03301-2410 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
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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.