Essex Mansfiled, LLC

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

ESSEX MANSFILED, LLC

Doing business as

Mansfield Place

Practice address

18 Carmichael St
Essex JCT, VT 05452-3170

Phone

(802) 871-5808

NPI assigned

Jun 19, 2014

Last updated

Jun 19, 2014By 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

Michelle Gokey

Title

Business Manager

Phone

(802) 871-5808

Specialties & licenses 1

Addresses

Other names 1

• Mansfield Place Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1356755102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CARMICHAEL ST",
            "city": "ESSEX JCT",
            "state": "VT",
            "postal_code": "054523170",
            "telephone_number": "802-871-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CARMICHAEL ST",
            "city": "ESSEX JCT",
            "state": "VT",
            "postal_code": "054523170",
            "telephone_number": "802-871-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX MANSFILED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "GOKEY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "802-871-5808"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mansfield Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruth Decker, RN
• Douglas Edward Dennett, MD
• Sharon Williams Dennett, MSW
• Rachel Raabe Destito, FNP BC
• Jon D Eriksson, OD
• Essex Pediatrics PC
• Dorothy Fisher, MD
• Sylvia Irene Fjeld, P.T.
• Rachel M Foxx, RN, IBCLC
• Debra Frisbie, H.I.S.

• Assisted Living Facility (Behavioral Disturbances) in Essex JCT, VT
• Providers in Essex JCT, VT by specialty
• Assisted Living Facility (Behavioral Disturbances) in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.