BRATTLEBORO RETREAT (NPI# 1861749913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861749913 |
| Entity Type | Organization |
| Organization Name | BRATTLEBORO RETREAT |
| Practice Address |
1 Anna Marsh Lane Brattleboro VT 05301-0101 |
| Mailing Address |
Po Box 101 Brattleboro VT 05302-0101 |
| Practice Telephone | 8022577785 |
| Practice Fax Number | 8022583798 |
| Mailing Telephone | 8022577785 |
| Mailing Fax Number | 8022583798 |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2018-04-13 |
| Authorized Official Name | CLARE BOKUM (REVENUE INTEGRITY SUPERVISOR) |
| Authorized Official Telephone | 8022584302 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 761 | VT | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366002636 | Brattleboro Retreat | Psychiatric Residential Treatment Facility | 24 Linden Street, Brattleboro, VT 05302 | 2019-06-18 |
| 1730185232 | Brattleboro Retreat | Psychiatric Hospital | Anna Marsh Lane, Brattleboro, VT 05301 | 2005-06-21 |
| 1255536991 | Brattleboro Retreat | Psychiatric Hospital | Anna Marsh Lane, Brattleboro, VT 05301 | 2007-06-20 |
| 1164627808 | Brattleboro Retreat | Psychiatric Hospital | Anna Marsh Lane, Brattleboro, VT 05301 | 2007-06-20 |
| 1295947950 | Brattleboro Retreat | Pharmacy | Anna Marsh Lane, Brattleboro, VT 05301 | 2007-05-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | BRATTLEBORO RETREAT BEAUTY SHOP | 75 Linden Street, Brattleboro, VT 05301 |
| Connecticut Business Registrations | BRATTLEBORO RETREAT CORPORATION | 15 Morgan Farms Drive, S. Windsor, CT 06074 |
| Street Address |
1 ANNA MARSH LANE |
| City | BRATTLEBORO |
| State | VT |
| Zip Code | 05301-0101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063409985 | Timothy Larosa | Psychiatry & Neurology | 1 Anna Marsh Lane, Brattleboro, VT 05302-0101 | 2005-10-05 |
| 1841830023 | Margot Kuhns Schmitt | Social Worker | 1 Anna Marsh Lane, Brattleboro, VT 05301 | 2020-01-15 |
| 1699316133 | Alanna T Russo | Counselor | 1 Anna Marsh Lane, Brattleboro, VT 05302-0101 | 2019-10-07 |
| 1174003354 | Gina Victoria Pearce | Counselor | 1 Anna Marsh Lane, Brattleboro, VT 05302 | 2018-08-17 |
| 1235616830 | Lynn F Mikolajczak | Social Worker | 1 Anna Marsh Lane, Brattleboro, MA 05301 | 2018-07-26 |
| 1821506155 | Lisa M Tallin | Social Worker | 1 Anna Marsh Lane, Brattleboro, VT 05302 | 2018-01-22 |
| 1952817868 | Tom Harrison | Counselor | 1 Anna Marsh Lane, Brattleboro, VT 05302-0101 | 2017-12-15 |
| 1336654151 | Allison D Nadeau | Counselor | 1 Anna Marsh Lane, Brattleboro, VT 05302 | 2017-12-04 |
| 1649789918 | Emily Worden | Social Worker | 1 Anna Marsh Lane, Tyler4, Brattleboro, VT 05302 | 2017-09-29 |
| 1376089771 | Judy Katz | Social Worker | 1 Anna Marsh Lane, Brattleboro, VT 05302 | 2017-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013575372 | Roberta M. White | Psychologist | 72 Whetstone Rd, Brattleboro, VT 05301 | 2019-06-03 |
| 1225526940 | Audrey Johnston | Nurse Practitioner | Brattleboro Family Medicine, 53 Fairview Street, Brattleboro, VT 05301 | 2018-04-27 |
| 1811349582 | Jillian Barney | Physician Assistant | 17 Belmont Ave Richards Building (1st Floor), Barttleboro, VT 05301 | 2016-07-06 |
| 1326413899 | Gabriella Neacsu Katz | Nurse Practitioner | 1860 Weatherhead Hollow Rd, Guilford, VT 05301 | 2015-12-09 |
| 1942608914 | Kathryn Peterson | Registered Nurse | 105 Winter St Apt 2, Brattleboro, VT 05301 | 2014-12-08 |
| 1558762823 | Saryn T Lauzon | Registered Nurse | 2 Maplewood Drive, Brattleboro, VT 05301 | 2014-09-05 |
| 1912248691 | Robert Joseph Stack | Counselor | 1 Linden Street, Brattleboro, VT 05301 | 2013-03-06 |
| 1053651760 | Christopher M. Deszynski | Naturopath | 73 Main St Ste 4, Brattleboro, VT 05301 | 2013-02-18 |
| 1518236355 | Christine Hamrin | Licensed Practical Nurse | 54 Spruce Street, Brattleboro, VT 05301 | 2011-12-23 |
| 1881924934 | Margrit C. Mikulis | Naturopath | 147 Orchard St, Brattleboro, VT 05301 | 2010-01-12 |
| Find all providers in zip 05301 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730185232 | Brattleboro Retreat | Psychiatric Hospital | Anna Marsh Lane, Brattleboro, VT 05301 | 2005-06-21 |
| 1255536991 | Brattleboro Retreat | Psychiatric Hospital | Anna Marsh Lane, Brattleboro, VT 05301 | 2007-06-20 |
| 1164627808 | Brattleboro Retreat | Psychiatric Hospital | Anna Marsh Lane, Brattleboro, VT 05301 | 2007-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043567977 | State of Vermont-department of Mental Health | Psychiatric Hospital | 350 Fisher Road, Berlin, VT 05633-7901 | 2012-08-09 |
| 1073636700 | Springfield Hospital Inc. | Psychiatric Hospital | 18 Old Terrace, Bellows Falls, VT 05101 | 2007-04-09 |
| City | BRATTLEBORO |
| Zip Code | 05301 |
Please comment or provide details below to improve the information on BRATTLEBORO RETREAT.
| 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.