Organization Active NPI

Valley Court Diversion Programs

  • Community/Behavioral Health Agency
  • White River Junction, VT
National Provider Identifier
1114212271
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
068-0000181 Issued in VT
Legal business name
VALLEY COURT DIVERSION PROGRAMS
Practice address
211 N Main St
White River Junction, VT 05001-7045
Phone
(802) 295-5078
Fax
(802) 295-8833
NPI assigned
Jun 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Authorized official

Name
Sara Degennaro, MA, LCMHC
Title
Clinical Director
Phone
(802) 295-5078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 068-0000181 VT Primary

Addresses

Primary practice location

211 N Main St
White River Junction, VT 05001-7045

Mailing address

211 N Main St
White River Junction, VT 05001-7045
Phone (802) 295-5078

National Provider Directory

National Provider Directory

Locations

211 N Main St
White River Junction, VT 05001
Phone (603) 252-0936

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1114212271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N MAIN ST",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050017045",
            "telephone_number": "802-295-5078",
            "fax_number": "802-295-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N MAIN ST",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050017045",
            "telephone_number": "802-295-5078",
            "fax_number": "802-295-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY COURT DIVERSION PROGRAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "status": "A",
        "authorized_official_last_name": "DEGENNARO",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "802-295-5078",
        "authorized_official_credential": "MA, LCMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VT",
            "license": "068-0000181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White River Junction, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.