NPIMap

Organization Active NPI

Vermont Department of Mental Health

  • Adult Mental Health Clinic/Center
  • Burlington, VT
National Provider Identifier
1659406296
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
VERMONT DEPARTMENT OF MENTAL HEALTH
Practice address
108 Cherry St
Burlington, VT 05401-4295
Phone
(802) 652-2045
Fax
(802) 865-7754
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Won Cho
Title
Accountant
Phone
(802) 652-2045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

108 Cherry St
Burlington, VT 05401-4295

Mailing address

PO Box 70
108 Cherry St.
Burlington, VT 05402-0070
Phone (802) 652-2045

Other identifiers 1

IdentifierTypeStateIssuer
1006420MedicaidVT

Other names 1

  • VDH - DMH Other name

National Provider Directory

National Provider Directory
Tax ID family
State of Vermont Disability Determination Services9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659406296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "address_2": "108 CHERRY ST.",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054020070",
            "telephone_number": "802-652-2045",
            "fax_number": "802-865-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CHERRY ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014295",
            "telephone_number": "802-652-2045",
            "fax_number": "802-865-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMONT DEPARTMENT OF MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "WON",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "802-652-2045"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006420",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VDH - DMH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.