DYNAMIC ENGAGEMENT INSTITUTE L3C NPI 1174888408

NPI Information

  • NPI: 1174888408
  • Provider Name: DYNAMIC ENGAGEMENT INSTITUTE, L3C
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • Doing Business As: SAPPHIRE CENTER
  • Address: 87 RIVERS BEND RD
    NEW HAVEN, VT
    ZIP 05472
  • Phone: (802) 388-3887

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NPI Details

DYNAMIC ENGAGEMENT INSTITUTE, L3C is an adolescent and children mental health clinic center in New Haven, VT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. DYNAMIC ENGAGEMENT INSTITUTE, L3C NPI is 1174888408. The provider is registered as an organization entity type.
The provider Is Doing Business As Sapphire Center.

The provider's business location address is:

87 RIVERS BEND RD
NEW HAVEN, VT
ZIP 05472-101
Phone: (802) 388-3887

The provider's authorized official is Michele Aaron Fouts .
The authorized official title is Owner/director and has the following contact phone number (802) 388-3887.

The enumeration date for this NPI number is 7/12/2012 and was last updated on 7/12/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD1600XClinic/CenterDevelopmental Disabilities0470084103VERMONTNo
2261QM0855XClinic/CenterAdolescent and Children Mental Health0470084103VERMONTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11020502MEDICAIDVERMONT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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