SOUTH ROYALTON SCHOOL BASED HEALTH CLINIC (NPI# 1376069542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376069542 |
| Entity Type | Organization |
| Organization Name | SOUTH ROYALTON SCHOOL BASED HEALTH CLINIC |
| Practice Address |
4266 Vermont Route 14 South Royalton VT 05068 |
| Mailing Address |
Po Box 542 South Royalton VT 05068-0542 |
| Practice Telephone | 8024316060 |
| Mailing Telephone | 8024316060 |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2017-08-18 |
| Authorized Official Name | JANE BENNETT (ADMINISTRATOR) |
| Authorized Official Telephone | 8024316060 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
4266 VERMONT ROUTE 14 |
| City | SOUTH ROYALTON |
| State | VT |
| Zip Code | 05068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881919363 | Royalton Fire District 1 | Ambulance | 53 Safford Street, South Royalton, VT 05068 | 2010-03-29 |
| 1003834664 | Rebecca A Foulk Md PC | Pediatrics | 79 South Windsor Street, South Royalton, VT 05068 | 2006-07-18 |
| 1962433060 | Frank Batchelder Lamson | Nurse Practitioner | 79 South Windsor St, South Royalton, VT 05068 | 2006-07-06 |
| 1285717967 | Ashley Ann Miller | Pediatrics | 79 South Windsor St, South Royalton, VT 05068 | 2006-10-24 |
| 1841391216 | Full Circle Women's Health, PC | Advanced Practice Midwife | 79 South Windsor St, South Royalton, VT 05068 | 2006-09-26 |
| 1154353274 | Rebecca Ann Foulk | Pediatrics | 79 South Windsor St, South Royalton, VT 05068 | 2006-07-07 |
| 1356633895 | H | Dentist | 79 South Windsor St, South Royalton, VT 05068-0119 | 2011-05-03 |
| 1346330883 | Jeanne Anthony Hover | Social Worker | 79 So. Windsor St On The Green, So. Royalton, VT 05068-0621 | 2006-10-13 |
| 1952935629 | Jake Edward Hewitt | Student in an Organized Health Care Education/Training Program | 1477 Davis Rd, South Royalton, VT 05068-5051 | 2020-03-02 |
| 1144654807 | Annette Elisa Petrucelli | Registered Nurse | 1691 Davis Rd, South Royalton, VT 05068-5056 | 2013-08-29 |
| Find all providers in zip 05068 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790104156 | Katrina Mchugh | Counselor | 248 Levasseur Rd, South Royalton, VT 05068-9542 | 2014-04-14 |
| 1346335346 | David Maxwell Doolittle | Counselor | 226 Leonard Rd, South Royalton, VT 05068-9565 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922614247 | Sarah Greenspan | Counselor | 1150 Shunpike Rd, Shrewsbury, VT 05738-9713 | 2020-09-22 |
| 1396359212 | Puja Senning | Counselor | 372 Pollander Rd, Waterbury, VT 05676-9428 | 2020-09-08 |
| 1629682174 | Maya Kunigis | Counselor | 334 Southridge Rd, Williston, VT 05495-5238 | 2020-09-02 |
| 1619588001 | Ashley Ann Stackowitz | Counselor | 1624 Lillieville Brook Rd, Bethel, VT 05032-9719 | 2020-08-11 |
| 1356950984 | Keith Edward Smith | Counselor | 288 Flynn Ave Apt 26, Burlington, VT 05401-5370 | 2020-07-29 |
| 1528677325 | Gavin B Chadwell | Counselor | 337 College St Ste G, Burlington, VT 05401-8344 | 2020-07-28 |
| 1790302552 | Neil Herrick | Counselor | 97 Cedar Hill Ln Apt 12, Montpelier, VT 05602-3546 | 2020-06-28 |
| 1144847971 | Victoria Trihy | Counselor | 107 Bridge St Unit 4, Waitsfield, VT 05673-6219 | 2020-06-27 |
| 1669098737 | Ari Shapiro-miller | Counselor | 68 Finch Ct, South Burlington, VT 05403-7570 | 2020-06-24 |
| 1669096434 | Callie Douglass | Counselor | 337 College St, Burlington, VT 05401-8344 | 2020-06-08 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH ROYALTON |
| Zip Code | 05068 |
Please comment or provide details below to improve the information on SOUTH ROYALTON SCHOOL BASED HEALTH CLINIC.
| 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.