NORTHEAST KINGDOM HUMAN SERVICES INC MH CHILDREN (NPI# 1043343700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043343700 |
Entity Type | Organization |
Organization Name | NORTHEAST KINGDOM HUMAN SERVICES INC MH CHILDREN |
Practice Address |
154 Duchess St Newport VT 05855 |
Mailing Address |
Po Box 724 Newport VT 05855-0724 |
Practice Telephone | 8023346744 |
Practice Fax Number | 8023347340 |
Mailing Telephone | 8023346744 |
Mailing Fax Number | 8023347340 |
Enumeration Date | 2007-03-13 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. ERIC GRIMS (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 8023346744 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VT | 1009784 | 05 |
Street Address |
154 DUCHESS ST |
City | NEWPORT |
State | VT |
Zip Code | 05855 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033241344 | Northeast Kingdom Human Services Inc Mh Adult | Clinic/Center | 154 Duchess St, Newport, VT 05855-0724 | 2007-03-12 |
1669597845 | Northeast Kingdom Human Services Inc Hbkf | Clinic/Center | 154 Duchess St, Newport, VT 05855 | 2007-03-20 |
1902930878 | Northeast Kingdom Human Services Inc Sbs | Clinic/Center | 154 Duchess St, Newport, VT 05855 | 2007-03-15 |
1891829776 | Northeast Kingdom Human Services Inc Vhap | Clinic/Center | 154 Duchess St, Newport, VT 05855 | 2007-03-15 |
1124152004 | Northeast Kingdom Human Services Inc Mh Waiver | Clinic/Center | 154 Duchess St, Newport, VT 05855 | 2007-03-15 |
1881728772 | Northeast Kingdom Human Services Inc Accs | Assisted Living Facility | 154 Duchess St, Newport, VT 05855 | 2007-03-15 |
1316070485 | Northeast Kingdom Human Services Inc Crt | Clinic/Center | 154 Duchess St, Newport, VT 05855 | 2007-03-14 |
1134252893 | Northeast Kingdom Human Services Inc Ds | Clinic/Center | 154 Duchess St, Newport, VT 05855-0724 | 2007-03-13 |
1265565857 | Karen J Hack | Psychologist | 154 Duchess St, Newport, VT 05855-0724 | 2007-03-13 |
1487787149 | Northeast Kingdom Human Services Inc PC | Day Training, Developmentally Disabled Services | 154 Duchess St, Newport, VT 05855-0724 | 2007-03-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679170922 | Katrina Marie Prive | Nurse Practitioner | 799 Salem View Heights, Newport, VT 05855 | 2020-10-08 |
1265949903 | Jodeci Malixi | Dentist | 494 Highland Ave #1, Newport, VT 05855 | 2018-01-03 |
1568971984 | Roderic R Knights Jr. | Social Worker | 121 Duchess Ave Ste B, Newport, VT 05855 | 2017-09-28 |
1952753311 | Gabrielle Marcotte | Speech-Language Pathologist | 189 Prouty Dr, Newport, VT 05855 | 2016-07-11 |
1215385919 | Elizabeth Torres | Behavioral Analyst | 4088 Hinman Settler Rd, Newport, VT 05855 | 2016-06-03 |
1598147175 | Emmi Rena Chapdelaine | Massage Therapist | 419b Route 105, Newport, VT 05855 | 2015-06-19 |
1164721783 | Elaine Marie Nicol-cashin | Pharmacist | 59 Waterfront Plaza, Newport, VT 05855 | 2011-03-22 |
1053589374 | Francis L Pinard Od PC | Optometrist | 124 East Main Street, Suite #1, Newport, VT 05855 | 2008-02-20 |
1073717112 | Freedom Physical Therapy, P.c | Physical Therapist | 419a Vt Rt 105, Suite B, Newport, VT 05855 | 2007-06-13 |
1902027402 | Nancy Lynn Stevenson-lyon | Specialist/Technologist | 209 Veterans Ave., Newport, VT 05855 | 2007-05-01 |
Find all providers in zip 05855 |
Taxonomy Code | 261QM0855X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adolescent and Children Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932435377 | County of Lincoln | Clinic/Center | 322 Ne Eads St, Newport, OR 97365-2819 | 2009-10-20 |
1043372709 | Northeast Kingdom Human Services Inc | Clinic/Center | 181 Crawford Rd, Newport, VT 05855-6405 | 2006-12-15 |
1730446378 | Lincoln County Health and Human Services | Clinic/Center | 36 Sw Nye St, Newport, OR 97365 | 2012-04-20 |
1578722369 | Lincoln County Children's Advocacy Center | Clinic/Center | 122 Ne 47th St, Newport, OR 97365-1429 | 2008-06-05 |
1902930878 | Northeast Kingdom Human Services Inc Sbs | Clinic/Center | 154 Duchess St, Newport, VT 05855 | 2007-03-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932726098 | Washington County Mental Health Services, Inc. | Clinic/Center | 34 Barre St, Montpelier, VT 05602-3510 | 2020-07-06 |
1033543616 | Southern Vermont Therapeutic Riding Center | Clinic/Center | 336 River Rd, Newfane, VT 05345-9667 | 2013-08-30 |
1336767755 | Green Mountain Psychology Pllc | Clinic/Center | 29 Union Street, The Granary, First Floor, Brandon, VT 05733 | 2020-07-13 |
1841417292 | Health Care & Rehabilitation Services | Clinic/Center | 1 Hospital Ct, Suite 410, Bellows Falls, VT 05101-1489 | 2007-04-19 |
1699899187 | Northwestern Counseling & Support Services | Clinic/Center | 107 Fisher Pond Road, Saint Albans, VT 05478-6286 | 2007-03-19 |
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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.