NPIMap

Organization Active NPI

Clara Martin Center

  • Community/Behavioral Health Agency
  • Randolph, VT
National Provider Identifier
1548060015
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CLARA MARTIN CENTER
Practice address
11 N Main St
Randolph, VT 05060-1126
Phone
(802) 728-4466
Fax
(802) 728-4197
NPI assigned
Mar 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Authorized official

Name
Timothy Ross
Title
Cfo
Phone
(603) 443-3046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

11 N Main St
Randolph, VT 05060-1126

Mailing address

PO Box G
Randolph, VT 05060-0167
Phone (802) 728-4466

Other practice location 1

35 Ayers Brook Rd
Randolph, VT 05060-1040
Phone (802) 728-4466

Other practice location 2

1483 Lower Pln
Bradford, VT 05033-8921
Phone (802) 222-4477

Other practice location 3

39 Fogg Farm Rd
Wilder, VT 05001
Phone (802) 295-1311

Other practice location 4

24 S Main St
Randolph, VT 05060-1369
Phone (802) 728-4466

Other practice location 5

1740 Lower Pln
Bradford, VT 05033-8934
Phone (802) 222-4477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060315000608 VT Part B Supplier - Clinic/Group Practice 1951395367 Receives reassigned benefits from 29 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wilder, VT; Randolph, VT; Chelsea, VT; Bradford, VT; Berlin Montpelier, VT

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Clara Martin Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

24 S Main St
Randolph, VT 05060
Phone (802) 728-6000

35 Ayers Brook Rd
Randolph, VT 05060

39 Fogg Farm Rd
White River Junction, VT 05001
Phone (802) 295-1311

Practitioners & affiliated clinicians

Practitioners 72

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

View all 72

NPI Registry JSON

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

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1548060015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX G",
            "city": "RANDOLPH",
            "state": "VT",
            "postal_code": "050600167",
            "telephone_number": "802-728-4466",
            "fax_number": "802-728-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N MAIN ST",
            "city": "RANDOLPH",
            "state": "VT",
            "postal_code": "050601126",
            "telephone_number": "802-728-4466",
            "fax_number": "802-728-4197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Ayers Brook Rd",
            "address_purpose": "LOCATION",
            "city": "Randolph",
            "state": "VT",
            "postal_code": "050601040",
            "country_code": "US",
            "telephone_number": "802-728-4466",
            "fax_number": "802-728-4197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1483 Lower Pln",
            "address_purpose": "LOCATION",
            "city": "Bradford",
            "state": "VT",
            "postal_code": "050338921",
            "country_code": "US",
            "telephone_number": "802-222-4477",
            "fax_number": "802-728-3242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39 Fogg Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Wilder",
            "state": "VT",
            "postal_code": "05001",
            "country_code": "US",
            "telephone_number": "802-295-1311",
            "fax_number": "802-295-1312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 S Main St",
            "address_purpose": "LOCATION",
            "city": "Randolph",
            "state": "VT",
            "postal_code": "050601369",
            "country_code": "US",
            "telephone_number": "802-728-4466",
            "fax_number": "802-728-4197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1740 Lower Pln",
            "address_purpose": "LOCATION",
            "city": "Bradford",
            "state": "VT",
            "postal_code": "050338934",
            "country_code": "US",
            "telephone_number": "802-222-4477",
            "fax_number": "802-728-3242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLARA MARTIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "603-443-3046"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.