Vineyard Psychotherapy, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

VINEYARD PSYCHOTHERAPY, LLC

Practice address

15 Church St
Vineyard Haven, MA 02568-5483

Phone

(508) 687-0085

NPI assigned

Feb 18, 2020

Organization subpart

No

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

Authorized official

Name

Elisabeth NannesNPI 1992189450

Title

LMHC

Phone

(508) 687-0085

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elisabeth Nannes, M.S.

  • Mental Health Counselor
  • Vineyard Haven, MA
  • NPI 1992189450
  NPD (past) Authorized official

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1366075434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WOOD CHIPS CIR",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025685334",
            "telephone_number": "508-687-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CHURCH ST",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025685483",
            "telephone_number": "508-687-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINEYARD PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "NANNES",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_title_or_position": "LMHC",
        "authorized_official_telephone_number": "508-687-0085"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venilia Gardens, Inc
• Cathleen P Vincent, LIC. AC.
• Vineyard Healthcare Assoc.
• Vineyard Medical Care LLC
• Vineyard Medical Services PC
• Vineyard Sound Health
• Vineyard Vision Care LLC
• Jennifer M Vogel, LICSW
• Katherine M Voshell, LPN
• Jenny Voumard, LICSW

• Mental Health Counselor in Vineyard Haven, MA
• Providers in Vineyard Haven, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.