NPIMap

Organization Active NPI

Brattleboro Retreat

  • Psychiatric Hospital
  • Brattleboro, VT
National Provider Identifier
1730185232
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
649 Issued in 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
Last updated
Feb 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Authorized official

Name
Autumn Kendall
Title
Staff
Phone
(802) 258-4310

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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 Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730185232. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Mar 1, 1942 in VT
Enrollment address
22 Anna Marsh Lane
Brattleboro, VT 5301
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric, Psychiatric unit

Care Compare: Hospital

Medicare Care Compare
Listed as
Brattleboro RetreatCCN 474001 · All quality measures
Type
Psychiatric
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

75 Linden St
Brattleboro, VT 05301
Phone (207) 257-7785

1 Anna Marsh Ln
Dummerston, VT 05301

22 Anna Marsh Ln
Dummerston, VT 05301
Phone (802) 258-3700

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Steven Cummings Individual Corporate OfficerCeo Feb 4, 2026
W-2 Managing EmployeeCeo Feb 4, 2026
Operational/Managerial Control Feb 4, 2026
Jill S Meschke Individual Corporate OfficerCfo Jan 1, 2025

Practitioners & affiliated clinicians

Practitioners 131

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 131

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1730185232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 803",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053020803",
            "telephone_number": "802-258-3737",
            "fax_number": "802-258-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ANNA MARSH LANE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053020803",
            "telephone_number": "802-257-7785",
            "fax_number": "802-258-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRATTLEBORO RETREAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "KENDALL",
        "authorized_official_first_name": "AUTUMN",
        "authorized_official_title_or_position": "STAFF",
        "authorized_official_telephone_number": "802-258-4310"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "VT",
            "license": "649",
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

Verify at the official NPI Registry.