NPIMap

Organization Active NPI

Vermont Department of Mental Health

Doing business as River Valley Therapeutic Residence

  • Mental Illness Community Based Residential Treatment Facility
  • Colchester, VT
National Provider Identifier
1497468292
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
VERMONT DEPARTMENT OF MENTAL HEALTH
Doing business as
River Valley Therapeutic Residence
Practice address
26 Woodside Dr E
Colchester, VT 05446-3128
Phone
(802) 241-0090
NPI assigned
Dec 27, 2022
Last updated
Dec 27, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
VERMONT DEPARTMENT OF MENTAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Authorized official

Name
Shannon Thompson
Title
Financial Director IV
Phone
(802) 241-0118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

26 Woodside Dr E
Colchester, VT 05446-3128

Mailing address

280 State Dr Nob 2 North
Waterbury, VT 05671-2010
Phone (802) 241-0118

Other names 1

  • River Valley Therapeutic Residence Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address AHS-DMHBOAPARUNIT@vermont.gov Direct

National Provider Directory

National Provider Directory
Tax ID family
Vocational Rehabiliation Vermont9 organizations share this tax ID, including this one
Part of
Vocational Rehabiliation Vermont

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

26 Woodside Dr E
Colchester, VT 05446
Phone (802) 241-0090

280 State Dr
#2N
Waterbury, VT 05671

Interoperability endpoints

  • Direct secure messaging: ahs-dmhboaparunit@vermont.gov

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1497468292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 STATE DR NOB 2 NORTH",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056712010",
            "telephone_number": "802-241-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 WOODSIDE DR E",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054463128",
            "telephone_number": "802-241-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMONT DEPARTMENT OF MENTAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VERMONT DEPARTMENT OF MENTAL HEALTH",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "FINANCIAL DIRECTOR IV",
        "authorized_official_telephone_number": "802-241-0118"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AHS-DMHBOAPARUNIT@vermont.gov",
            "affiliation": "N",
            "endpointDescription": "Group email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "26 Woodside Dr E",
            "city": "Colchester",
            "state": "VT",
            "country_code": "US",
            "postal_code": "054463128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "River Valley Therapeutic Residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colchester, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.