NORTHEAST KINGDOM HUMAN SERVICES INC MH CHILDREN


Address: 154 Duchess St, Newport, VT 05855
Phone: 8023346744

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
VT 1009784 05

Office Location

Street Address 154 DUCHESS ST
City NEWPORT
State VT
Zip Code 05855

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 261QM0855X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adolescent and Children Mental Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City NEWPORT
Zip Code 05855

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Dataset Information

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.

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