SOVEREIGN JOURNEY L3C (NPI# 1366781866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366781866 |
| Entity Type | Organization |
| Organization Name | SOVEREIGN JOURNEY L3C |
| Other Organization Name | SOVEREIGN JOURNEY |
| Practice Address |
2444 Main St Bethlehem NH 03574-4916 |
| Mailing Address |
Po Box 216 Bethlehem NH 03574-0216 |
| Practice Telephone | 6038697318 |
| Mailing Telephone | 6038697318 |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-02-05 |
| Authorized Official Name | KAREN E. FITZHUGH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6038697318 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 03806 | NH | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Sovereign Journey | Doing Business As Name - Organization |
| Street Address |
2444 MAIN ST |
| City | BETHLEHEM |
| State | NH |
| Zip Code | 03574-4916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719802 | Rhonda Connors | Registered Nurse | 2444 Main St, Bethlehem, NH 03574-4916 | 2019-09-18 |
| 1932688801 | Carla Mccormack | Registered Nurse | 2444 Main St, Bethlehem, NH 03574-4916 | 2018-08-10 |
| 1285113191 | David Andrew Schwartz | Social Worker | 2444 Main St, Bethlehem, NH 03574-4916 | 2018-08-10 |
| 1538401401 | Nicole Lyn Mitchell | Counselor | 2444 Main St, Bethlehem, NH 03574-4916 | 2013-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861503 | Gary Alan Richard | Counselor | 2957 Main St. Rt. 302, Bethlehem, NH 03574 | 2020-11-05 |
| 1487201463 | Mary Martignetti | Technician | 2238 Main Street, Bethlehem, NH 03574 | 2019-08-23 |
| 1821644717 | Jeannette June Hook | Counselor | 2957 Main Street Route 302, Bethlehem, NH 03574 | 2019-08-15 |
| 1225684137 | Rhonda L Bishop | Counselor | 2957 Main Street, Rte. 302, Bethlehem, NH 03574 | 2019-08-15 |
| 1366927410 | Gia Koumantzelis | Social Worker | 240 Valley View Lane, Bethlehem, NH 03574 | 2018-09-25 |
| 1407367691 | North Country Health Consortium | Substance Abuse Rehabilitation Facility | 2957 Main Street, Route 302, Bethlehem, NH 03574 | 2017-10-16 |
| 1356799332 | Dan D Lavigne | Counselor | 3957 Main St, Bethlehem, NH 03574 | 2016-05-31 |
| 1891025847 | Angela Suzanne Mackinnon | Speech-Language Pathologist | 1161 Main Street, Bethlehem, NH 03574 | 2010-01-13 |
| 1891029245 | Christy Manditch | Acupuncturist | 22 Park Ave, Bethlehem, NH 03574 | 2009-10-01 |
| 1487720462 | Nfi North, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 787 Maple St, Bethlehem, NH 03574 | 2006-11-28 |
| Find all providers in zip 03574 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215072780 | Kidspeace National Centers Inc | Psychiatric Residential Treatment Facility | 637 11th Avenue, Bethlehem, PA 18017 | 2007-02-21 |
| 1073658860 | Kidspeace National Centers Inc | Psychiatric Residential Treatment Facility | 2958 Linden Street, Bethlehem, PA 18017 | 2007-02-20 |
| 1841362167 | Kidspeace National Centers Inc | Psychiatric Residential Treatment Facility | 1650 Broadway, Bethlehem, PA 18015 | 2006-11-14 |
| 1508195959 | Monroe Operations, LLC | Psychiatric Residential Treatment Facility | 64 Double Hill Rd, Bethlehem, CT 06751 | 2009-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871796318 | Pike School, Inc | Psychiatric Residential Treatment Facility | 2635 Mount Moosilauke Hwy, Pike, NH 03780-5625 | 2007-06-11 |
| 1336216274 | Nfi North, Inc | Psychiatric Residential Treatment Facility | 7 Davenport Rd, Jefferson, NH 03583 | 2006-11-29 |
| 1871669234 | Nfi North, Inc | Psychiatric Residential Treatment Facility | 2554 Route 103, Bradford, NH 03221-3516 | 2006-11-28 |
| 1861491334 | State of New Hampshire | Psychiatric Residential Treatment Facility | 36 Clinton St, Concord, NH 03301-2359 | 2005-07-18 |
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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.