Bradford Psychiatric Associates. LLC

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

Legal business name

BRADFORD PSYCHIATRIC ASSOCIATES. LLC

Practice address

199 Stratton Rd Ste 1
Rutland, VT 05701-4892

Phone

(802) 775-7798

Fax

(802) 775-7762

NPI assigned

Apr 10, 2007

Last updated

Jul 30, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Lee Laughlin

Title

Practice Administrator

Phone

(802) 775-7798

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24449/brand/1/csg/1/fhir/r4

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristen Marie Sheehan, APRN

  • Family Nurse Practitioner
  • Rutland, VT
  • NPI 1396219580
  Medicare reassignment Care Compare group NPD
• Frederick Hesse

  • Addiction Medicine (Family Medicine) Physician
  • Rutland, VT
  • NPI 1336215698
  Medicare reassignment Care Compare group
• Craig Smith, LADC, LICSW

  • Clinical Social Worker
  • Berlin, VT
  • NPI 1871655209
  Medicare reassignment Care Compare group
• Cherylanne Patricia Linares, MSN, PMH BCRN CARNAP

  • Addiction (Substance Use Disorder) Registered Nurse
  • Rutland, VT
  • NPI 1366314502

  Multi-Specialty

  NPD
• Brandy Joy Haymaker, FNP-BC

  • Family Nurse Practitioner
  • Rutland, VT
  • NPI 1114858719
  NPD (past)
• Mark Edward Logan, MD

  • Internal Medicine Physician
  • Rutland, VT
  • NPI 1184679227
  NPD (past)
• Ronald Womer

  • Addiction (Substance Use Disorder) Counselor
  • Rutland, VT
  • NPI 1932594058
  NPD (past)
• Dean WM McKenzie, MD

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Marana, AZ
  • NPI 1548218555
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1184747339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 STRATTON RD STE 1",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014892",
            "telephone_number": "802-775-7798",
            "fax_number": "802-775-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 STRATTON RD STE 1",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014892",
            "telephone_number": "802-775-7798",
            "fax_number": "802-775-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADFORD PSYCHIATRIC ASSOCIATES. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "LAUGHLIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "802-775-7798"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012105",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiera Grace Bovey
• Martha Hill Bowen, LICSW
• Ananda Boyer, M.D.
• Andrew Boyer, MD
• Melbourne Duncan Boynton, M.D.
• Karen J Braeutigam, LICSW
• Saisha Branchaud, PHARMD
• Stafford Eli Brannon
• Ryan Alexander Brass, M.D.
• Gary H Breen, DMD

• Addiction Medicine (Internal Medicine) Physician in Rutland, VT
• Providers in Rutland, VT by specialty
• Addiction Medicine (Internal Medicine) Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.