Organization Active NPI

Second Growth, Inc

  • Community/Behavioral Health Agency
  • White River Junction, VT
National Provider Identifier
1700268125
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
000676 Issued in VT
Legal business name
SECOND GROWTH, INC
Practice address
205 Billings Farm Rd BLDG 1
White River Junction, VT 05001-5400
Phone
(802) 295-9800
Fax
(802) 295-9889
NPI assigned
Jun 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Authorized official

Name
Heidi Anne Postupack
Title
Executive Director
Phone
(802) 295-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 000676 VT Primary

Addresses

Primary practice location

205 Billings Farm Rd BLDG 1
White River Junction, VT 05001-5400

Mailing address

PO Box 206
Hanover, NH 03755-0206
Phone (802) 295-9800

Other identifiers 1

IdentifierTypeStateIssuer
000676OtherVTSTATE OF VERMONT LICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

205 Billings Farm Rd
Bldg 1
White River Junction, VT 05001
Phone (802) 295-9800

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1700268125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 206",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037550206",
            "telephone_number": "802-295-9800",
            "fax_number": "802-295-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BILLINGS FARM RD BLDG 1",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050015400",
            "telephone_number": "802-295-9800",
            "fax_number": "802-295-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND GROWTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "POSTUPACK",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "802-295-9800"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VT",
            "license": "000676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF VERMONT LICENSE NUMBER",
            "identifier": "000676",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White River Junction, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.