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STATE OF VERMONT NPI 1215017678


NPI Information

NPI: 1215017678
Provider Name: STATE OF VERMONT

Doing Business As: VERMONT STATE HOSPITAL

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
103 SOUTH MAIN STREET
WATERBURY, VT
ZIP 05671
Phone: (802) 241-3009
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STATE OF VERMONT is a psychiatry psychiatry neurology in Waterbury, VT. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. STATE OF VERMONT NPI is 1215017678. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Vermont State Hospital.

The provider's business location address is:

103 SOUTH MAIN STREET
WATERBURY, VT
ZIP 05671-800
Phone: (802) 241-3009
Fax: (802) 241-1439

The provider's authorized official is Terry Rowe .
The authorized official title is Executive Director and has the following contact phone number (802) 241-3100.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 4/23/2008.


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
12084P0800XPsychiatry & NeurologyPsychiatryYes

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
1474003MEDICARE ID-TYPE UNSPECIFIED
2VT4000MEDICARE ID-TYPE UNSPECIFIED
3474002MEDICAIDVERMONT
4474003MEDICAIDVERMONT
5VT4000MEDICAIDVERMONT

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: 5/5/2024

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