Brattleboro Retreat
Organization Active NPI Psychiatric Hospital · Brattleboro, VT
NPI 1730185232 · NPPES record last updated Feb 4, 2026
Key facts
- NPI
- 1730185232
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Hospital 283Q00000X
- License
- 649 (VT)
- Legal business name
- BRATTLEBORO RETREAT
- Practice address
- 22 Anna Marsh Lane
Brattleboro, VT 05302-0803 - Phone
- (802) 257-7785
- Fax
- (802) 258-3723
- NPI assigned
- Jun 21, 2005
- Organization subpart
- No
Authorized official
- Name
- Autumn Kendall
- Title
- Staff
- Phone
- (802) 258-4310
Practitioners 132
-
Rachel Christine Conrad, M.D.
-
Matthew Dove, FNP-C
-
Sarah Kay Dudley, APRN
-
Susan M Fields, LICSW
-
Darcy Gingerich, LMHC
-
John Michael Halloran, PSY.D.
-
Timothy Kanczuga, FNP-BC
-
Rachael Kandath, MD
-
Geoffrey Kane, MD
-
Patricia Mary Kijak, APRN
-
Sarah Catherine Kocz, MA, LCMHC, LADC
-
Lisa Ann Lambert, MD
-
Katelyn Mulford O'Connor, LCMHC
-
Ayodeji S Oyewole, PMHNP
-
Samantha Peabody, PMHNP
-
Gina Victoria Pearce, LCMHC, LADC
-
Hannah Shore Powell, MD.
-
Scott David Robinson, CNP
-
Tania K Sarkaria, MD
-
Lisa M Tallin, LICSW
Medicare Care Compare: Hospital
- Listed as
- Brattleboro Retreat
- Type
- Psychiatric
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VT
Hospital certification: CCN 474001
- Legal name
- BRATTLEBORO RETREAT
- Certification status
- Active
- Provider type (POS)
- Hospital – Psychiatric
- Participating since
- Jul 1, 1966
- Last certification
- Dec 1, 2015
- Beds
- 149
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Mar 1, 1942 in VT
- Enrollment address
- 22 Anna Marsh Lane
Brattleboro, VT 5301 - Hospital subgroups
- Psychiatric, Psychiatric unit
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Steven Cummings |
Corporate Officer |
Feb 4, 2026 | |
| W-2 Managing Employee |
Feb 4, 2026 | ||
| Operational/Managerial Control | Feb 4, 2026 | ||
| Jill S Meschke |
Corporate Officer |
Jan 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041123000627 | VT | Part B Supplier - Clinic/Group Practice | 7012828908 |
Receives reassigned benefits from 117 practitioners Practice locations: Brattleboro, VT |
| O20070124000137 | VT | Part a Provider - Hospital | 7012828908 | Practice locations: Brattleboro, VT |
National Provider Directory
Locations
75 Linden St
Brattleboro, VT 05301
Phone (207) 257-7785
1 Anna Marsh Ln
Dummerston, VT 05301
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Psychiatric Hospital | 283Q00000X | 649 | VT | Yes |
| Clinic Pharmacy | 3336C0002X | |||
| Institutional Pharmacy | 3336I0012X |
Addresses
Primary practice location
22 Anna Marsh Lane
Brattleboro, VT 05302-0803
Mailing address
PO Box 803
Brattleboro, VT 05302-0803
Phone (802) 258-3737
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0474001 | Medicaid | VT |
Other providers in Brattleboro, VT
- Brattleboro Pastoral Counseling Center Inc
- Brattleboro Retreat
- Brattleboro Retreat
- Brattleboro Retreat
- Brattleboro Retreat
- Brattleboro Retreat
- Kristin LW Bratton
- Bratttleboro Anesthesia Associates PC
- Dianne Bravo
- Judith A Brennan
All providers in Brattleboro, VT · Psychiatric Hospital in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.