HAWTHORN RECOVERY CENTER PLLC (NPI# 1659785186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659785186 |
| Entity Type | Organization |
| Organization Name | HAWTHORN RECOVERY CENTER PLLC |
| Practice Address |
160 Benmont Ave Suite 31 Bennington VT 05201-1873 |
| Practice Telephone | 8025797980 |
| Mailing Telephone | 8025797980 |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2014-07-17 |
| Authorized Official Name | DONNA MENNETO (BUSINESS MANAGER) |
| Authorized Official Telephone | 8023795821 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
160 BENMONT AVE SUITE 31 |
| City | BENNINGTON |
| State | VT |
| Zip Code | 05201-1873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407840648 | William Alfred Goodman | Psychologist | 160 Benmont Ave, Suite 25, Bennington, VT 05201-1873 | 2005-09-02 |
| 1376086280 | Scott J Burg | Psychologist | 160 Benmont Ave, Suite C3-95, Bennington, VT 05201-1873 | 2016-11-24 |
| 1467806067 | Glen Mackenzie Md PC | Obstetrics & Gynecology | 160 Benmont Ave, Suite 22, Bennington, VT 05201-1873 | 2016-04-20 |
| 1013301324 | Mary Jean Sadlak Phd PC | Psychologist | 160 Benmont Ave, Suite 20, Bennington, VT 05201-1873 | 2015-03-25 |
| 1104238591 | Louise S. Binette | Counselor | 160 Benmont Ave, Suite 30, Bennington, VT 05201-1873 | 2014-05-20 |
| 1386944338 | Ileana Tecchio | Acupuncturist | 160 Benmont Ave, Suite 30, Bennington, VT 05201-1873 | 2010-10-25 |
| 1336451731 | Katherine J Baum PC | Clinical Neuropsychologist | 160 Benmont Ave, Suite 20, Bennington, VT 05201-1873 | 2010-07-14 |
| 1740501071 | Mindful Solutions Pllc | Psychologist | 160 Benmont Ave, Suite 20, Bennington, VT 05201-1873 | 2010-06-22 |
| 1891016820 | Marlana W Freitas | Massage Therapist | 160 Benmont Ave, Suite 4, Bennington, VT 05201-1873 | 2010-06-14 |
| 1295056356 | K and L Associates | Psychologist | 160 Benmont Ave, Bennington, VT 05201-1873 | 2010-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154720951 | Justin Carl Wilkinson | Specialist/Technologist | 320 Elm St, Bennington, VT 05201 | 2014-08-18 |
| 1134533235 | Patrick Deedy | Specialist/Technologist | 5 Appletree Ln, Bennington, VT 05201 | 2014-06-17 |
| 1083974299 | Khola Qamar | Internal Medicine | 140 Hospital Dr Ste 307, Bennington, VT 05201 | 2012-05-22 |
| 1295039808 | Bernadette R. Potratz | Massage Therapist | 160 Benmont Ave., Suite 23, Bennington, VT 05201 | 2010-12-23 |
| 1780870642 | Aaron York | Psychiatry & Neurology | 186 North Street, Bennington Va Clinic, Bennington, VT 05201 | 2007-09-24 |
| 1053434100 | Sunrise Family Resource Center | Social Worker | 244 Union Street, Bennington, VT 05201 | 2007-04-06 |
| 1316022817 | New England Consulting Inc | Chiropractor | 125 Elm Street, Bennington, VT 05201 | 2006-10-25 |
| 1306926704 | Glen Carlisle Mackenzie | Obstetrics & Gynecology | 160 Benmont Avenue, Suite 22, Bennington, VT 05201 | 2006-10-17 |
| 1982796496 | Maureen Matthews Mcclintock | Social Worker | 655 Main St., Bennington, VT 05201 | 2006-09-29 |
| 1447270525 | Robert J Miller | Dentist | 129 Elm Street, Bennington, VT 05201 | 2006-07-20 |
| Find all providers in zip 05201 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972889681 | John Russell Hughes | Psychiatry & Neurology | 1 So Prospect St, Burlington, VT 05401 | 2011-10-26 |
| 1245270776 | Louis Jay Frank | Psychiatry & Neurology | 459 Portland St - Suite 6, St Johnsbury, VT 05819 | 2006-06-06 |
| City | BENNINGTON |
| Zip Code | 05201 |
Please comment or provide details below to improve the information on HAWTHORN RECOVERY CENTER PLLC.
| 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.