DYNAMIC ENGAGEMENT INSTITUTE, L3C (NPI# 1174888408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174888408 |
| Entity Type | Organization |
| Organization Name | DYNAMIC ENGAGEMENT INSTITUTE, L3C |
| Other Organization Name | SAPPHIRE CENTER |
| Practice Address |
87 Rivers Bend Rd New Haven VT 05472-1101 |
| Practice Telephone | 8023883887 |
| Mailing Telephone | 8023883887 |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-12 |
| Authorized Official Name | MICHELE AARON FOUTS (OWNER/DIRECTOR) |
| Authorized Official Telephone | 8023883887 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
0470084103 | VT | Ambulatory Health Care Facilities |
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
0470084103 | VT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1020502 | 05 |
| Other Name | Type Code |
|---|---|
| Sapphire Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | DYNAMIC ENGAGEMENT INSTITUTE, L3C | 87 Rivers Bend Road, New Haven, VT 05472 |
| Street Address |
87 RIVERS BEND RD |
| City | NEW HAVEN |
| State | VT |
| Zip Code | 05472-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164780946 | Michele Aaron Fouts | Psychologist | 87 Rivers Bend Rd, New Haven, VT 05472-1101 | 2012-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770611253 | Addison County Home Health & Hospice Inc | Home Health | 254 Ethan Allen Highway, New Haven, VT 05472 | 2007-02-28 |
| 1255452728 | Addison County Home Health & Hospice Inc | Hospice Care, Community Based | 254 Ethan Allen Highway, New Haven, VT 05472 | 2007-04-03 |
| 1033230503 | Addison County Home Health and Hospice, Inc | Home Health | 254 Ethan Allen Highway, New Haven, VT 05472 | 2007-04-03 |
| 1508987058 | Addison County Home Health and Hospice, Inc | Public Health or Welfare | 254 Ethan Allen Highway, New Haven, VT 05472 | 2007-04-03 |
| 1437270626 | Addison County Home Health and Hospice, Inc | Home Health | 254 Ethan Allen Highway, New Haven, VT 05472 | 2007-04-03 |
| 1720109283 | Addison County Home Health and Hospice, Inc | Home Health | 254 Ethan Allen Highway, New Haven, VT 05472 | 2007-04-03 |
| 1275653081 | Addison County Home Health and Hospice, Inc | Home Health | 254 Ethan Allen Highway, New Haven, VT 05472 | 2007-03-29 |
| 1639387327 | Rebecca Kennedy | Psychologist | 3206 Ethan Allen Hwy, New Haven, VT 05472-1040 | 2007-05-18 |
| 1265423396 | Joan Sharon Johnson | Psychologist | 30 North St, New Haven, VT 05472-2003 | 2005-10-28 |
| 1134401433 | Stuart Moore Maccrellish | Social Worker | 653 Quarry Rd, New Haven, VT 05472-2028 | 2011-09-13 |
| Find all providers in zip 05472 | ||||
| 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 |
|---|---|---|---|---|
| 1497025035 | Ct Clinical Services, Inc. | Clinic/Center | 189 Orange St, New Haven, CT 06510-2014 | 2012-01-12 |
| 1093950032 | Yale Parenting and Child Conduct Clinic | Clinic/Center | 314 Prospect St, New Haven, CT 06511-2187 | 2008-12-04 |
| 1942580006 | Catholic Charities Inc | Clinic/Center | 501 Lombard St, New Haven, CT 06513-2910 | 2011-08-22 |
| 1871796383 | Yale Univ School of Medicine | Clinic/Center | 230 South Frontage Road, New Haven, CT 06519-0309 | 2007-06-11 |
| 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 |
| 1043372709 | Northeast Kingdom Human Services Inc | Clinic/Center | 181 Crawford Rd, Newport, VT 05855-6405 | 2006-12-15 |
| 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 |
| 1902930878 | Northeast Kingdom Human Services Inc Sbs | Clinic/Center | 154 Duchess St, Newport, VT 05855 | 2007-03-15 |
| 1043343700 | Northeast Kingdom Human Services Inc Mh Children | Clinic/Center | 154 Duchess St, Newport, VT 05855 | 2007-03-13 |
Please comment or provide details below to improve the information on DYNAMIC ENGAGEMENT INSTITUTE, L3C.
| 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.