NPIMap

Organization Active NPI

Inner Fire, Inc

  • Psychiatric Residential Treatment Facility
  • Brookline, VT
National Provider Identifier
1043818677
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
INNER FIRE, INC
Practice address
26 Parker Rd
Brookline, VT 05345-9793
Phone
(802) 221-8051
Fax
(802) 221-8051
NPI assigned
Oct 15, 2020
Last updated
Oct 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joyce Reilly
Title
Outreach and Marketing Coordinator
Phone
(802) 451-0125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

26 Parker Rd
Brookline, VT 05345-9793

Mailing address

26 Parker Rd
Brookline, VT 05345-9793
Phone (802) 221-8051

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1043818677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 PARKER RD",
            "city": "BROOKLINE",
            "state": "VT",
            "postal_code": "053459793",
            "telephone_number": "802-221-8051",
            "fax_number": "802-221-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 PARKER RD",
            "city": "BROOKLINE",
            "state": "VT",
            "postal_code": "053459793",
            "telephone_number": "802-221-8051",
            "fax_number": "802-221-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER FIRE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "OUTREACH AND MARKETING COORDINATOR",
        "authorized_official_telephone_number": "802-451-0125"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.