NORTHEAST KINGDOM HUMAN SERVICES INC DS WAIVER (NPI# 1538292768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538292768 |
| Entity Type | Organization |
| Organization Name | NORTHEAST KINGDOM HUMAN SERVICES INC DS WAIVER |
| Practice Address |
154 Duchess Ave Newport VT 05855-5516 |
| 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 | 2007-03-14 |
| 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 | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 6040016 | 05 |
| Street Address |
154 DUCHESS AVE |
| City | NEWPORT |
| State | VT |
| Zip Code | 05855-5516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093805889 | Lawrence Berry | Psychologist | 154 Duchess Ave, Newport, VT 05855-5516 | 2006-10-13 |
| 1780908251 | Erin Poutre Columbia | Counselor | 154 Duchess Ave, Newport, VT 05855-5516 | 2010-03-26 |
| 1710125729 | Shari Lee Ryan | Counselor | 154 Duchess Ave, Newport, VT 05855-5516 | 2009-01-29 |
| 1093920266 | Elliot Martin Kaufman | Psychiatry & Neurology | 154 Duchess Ave, Newport, VT 05855-5516 | 2007-05-11 |
| 1124154893 | Linda Cope | Counselor | 154 Duchess Ave, Newport, VT 05855 | 2007-02-26 |
| 1356493852 | Margot Eastman | Counselor | 154 Duchess Ave, Newport, VT 05855-5516 | 2007-01-17 |
| 1548312945 | Noreen Joy Shapiro-berry | Counselor | 154 Duchess Ave, Newport, VT 05855 | 2007-01-17 |
| 1326199332 | Janet L Porter | Psychologist | 154 Duchess Ave, Newport, VT 05855 | 2007-01-16 |
| 1689725681 | Janet Monette | Counselor | 154 Duchess Ave, Newport, VT 05855-5516 | 2007-01-16 |
| 1730246125 | Judy D Young | Psychologist | 154 Duchess Ave, Newport, VT 05855-0724 | 2007-01-03 |
| 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 | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134252893 | Northeast Kingdom Human Services Inc Ds | Clinic/Center | 154 Duchess St, Newport, VT 05855-0724 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235566969 | Rutland Mental Health Services | Clinic/Center | 78 S Main St, Rutland, VT 05701-4530 | 2013-09-26 |
| 1174888408 | Dynamic Engagement Institute, L3c | Clinic/Center | 87 Rivers Bend Rd, New Haven, VT 05472-1101 | 2012-07-12 |
| 1205053659 | Health Care & Rehabilitation Services | Clinic/Center | 1 Hospital Ct, Suite 410, Bellows Falls, VT 05101-1489 | 2007-04-19 |
| 1770700221 | Howardcenter, Inc. | Clinic/Center | 102 S Winooski Ave, Burlington, VT 05401-3830 | 2007-04-19 |
| 1376760835 | Health Care & Rehabilitation Services | Clinic/Center | 1 Hospital Ct, Suite 410, Bellows Falls, VT 05101-1489 | 2007-04-19 |
| 1730218868 | Counseling Service of Addison County | Clinic/Center | 89 Main St, Middlebury, VT 05753-1459 | 2007-03-05 |
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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.