Stoneybrook Behavior Health, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

STONEYBROOK BEHAVIOR HEALTH, PLLC

Practice address

89 Castle Rd
Moretown, VT 05660-9498

Phone

(269) 873-1216

NPI assigned

Jun 17, 2022

Last updated

Mar 28, 2024By 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

Mary Bechtel, LICSWNPI 1487241089

Title

Clinician/Ceo

Phone

(269) 873-1216

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Practitioners 1

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.

• Mary E. Bechtel, L.C.S.W., L.I.C.S.W.

  • Clinical Social Worker
  • Moretown, VT
  • NPI 1487241089
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1265163588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 CASTLE RD",
            "city": "MORETOWN",
            "state": "VT",
            "postal_code": "056609498",
            "telephone_number": "269-873-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 CASTLE RD",
            "city": "MORETOWN",
            "state": "VT",
            "postal_code": "056609498",
            "telephone_number": "269-873-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEYBROOK BEHAVIOR HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-17",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "BECHTEL",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CLINICIAN/CEO",
        "authorized_official_telephone_number": "269-873-1216",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Sheldon Hudson, L.P.C., L.C.M.H.C.
• Kathleen Campbell Pittaway, MD
• Abigail Reagan
• Edward Spaulding, PHD, LADC
• Leigh V Stockton, CCC-SLP
• Ann Elizabeth Tohill, CPD
• Mary Catherine Winters, CNS

• Clinical Social Worker in Moretown, VT
• Providers in Moretown, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.