MAPLE LEAF FARM ASSOCIATES, INC. (NPI# 1316904360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316904360 |
| Entity Type | Organization |
| Organization Name | MAPLE LEAF FARM ASSOCIATES, INC. |
| Other Organization Name | MAPLE LEAF TREATMENT CENTER |
| Practice Address |
10 Maple Leaf Farm Rd Maple Leaf Treatment Center Underhill VT 05489 |
| Mailing Address |
786 College Parkway Maple Leaf Treatment Center Colchester VT 05446 |
| Practice Telephone | 8028992911 |
| Practice Fax Number | 8028992327 |
| Mailing Telephone | 8028992911 |
| Mailing Fax Number | 8028992327 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2016-11-07 |
| Authorized Official Name | CATHERINE IACUZZI (CEO & EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8028992911 |
| Authorized Official Credential | PSYD, LADC, CCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | VT | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Maple Leaf Treatment Center | Doing Business As Name - Organization |
| Street Address |
10 MAPLE LEAF FARM RD MAPLE LEAF TREATMENT CENTER |
| City | UNDERHILL |
| State | VT |
| Zip Code | 05489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871769877 | Christopher John Bondi | General Practice | 10 Maple Leaf Farm Rd, Underhill, VT 05489-9358 | 2008-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942494224 | Robert P Breton | Orthotist | 13 Barrett Ln, Underhill, VT 05489 | 2007-08-30 |
| 1376691857 | Gregory Mark Coleman | Occupational Therapist | 59 Timber Rdg Rd, Underhill, VT 05489 | 2007-01-08 |
| 1902444862 | Bridget Shea | Dietitian, Registered | 23 Wheeler Rd, Underhill, VT 05489-9303 | 2019-12-11 |
| 1548759848 | Emily Piazza | Dietitian, Registered | 1081 Vt Route 15, Underhill, VT 05489-9341 | 2018-05-02 |
| 1831650837 | Nourished Journey Nutrition Counseling and Doula Support Plc. | Dietitian, Registered | 1081 Vt Route 15, Underhill, VT 05489-9341 | 2019-03-31 |
| 1710548367 | Daivd Allen Cavanagh | Counselor | 99 Lower English Settlement Rd, Underhill, VT 05489-9348 | 2019-06-25 |
| 1871768010 | Elliot Danforth Jr. | Internal Medicine | 84 Beartown Rd, Underhill, VT 05489-9365 | 2008-04-29 |
| 1134530280 | Maria Jean Rademacher | Specialist/Technologist | 29 Wild Berry Ln, Underhill, VT 05489-9451 | 2014-05-12 |
| 1770681348 | Janice Lee Solek-tefft | Counselor | 14 Blakey Rd, Underhill, VT 05489-9492 | 2006-09-20 |
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427668524 | Silver Pines Partners, LLC | Substance Abuse Rehabilitation Facility | 3430 Mountain Rd, Stowe, VT 05672-4800 | 2020-08-04 |
| 1881901825 | Sunset House - Birdseye, Inc. | Substance Abuse Rehabilitation Facility | 511 Sand Hill Road, Castleton, VT 05735 | 2010-09-13 |
| 1336348705 | Spring Lake Ranch | Substance Abuse Rehabilitation Facility | 1169 Spring Lake Rd, Cuttingsville, VT 05738-4418 | 2007-07-16 |
| 1396808499 | Oas, LLC | Substance Abuse Rehabilitation Facility | 23 Upper Pln, Bradford, VT 05033-9016 | 2006-12-19 |
| 1851952055 | Recovery House, Inc. | Substance Abuse Rehabilitation Facility | 35 Washington St, Rutland, VT 05701-5029 | 2019-06-27 |
| 1992362271 | Oas, LLC | Substance Abuse Rehabilitation Facility | 1 Alden Pl, Vergennes, VT 05491-1102 | 2019-05-22 |
| 1922051242 | Recovery House, Inc. | Substance Abuse Rehabilitation Facility | 98 Church St, Wallingford, VT 05773-9650 | 2006-05-18 |
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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.