NPIMap

Organization Active NPI

Brattleboro Retreat

  • Psychiatric Hospital
  • Brattleboro, VT
National Provider Identifier
1861749913
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
761 Issued in VT
Legal business name
BRATTLEBORO RETREAT
Practice address
1 Anna Marsh Lane
Brattleboro, VT 05301-0101
Phone
(802) 257-7785
Fax
(802) 258-3798
NPI assigned
Aug 8, 2012
Last updated
Apr 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Authorized official

Name
Clare Bokum
Title
Revenue Integrity Supervisor
Phone
(802) 258-4302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 761 VT Primary

Addresses

Primary practice location

1 Anna Marsh Lane
Brattleboro, VT 05301-0101

Mailing address

PO Box 101
Brattleboro, VT 05302-0101
Phone (802) 257-7785

National Provider Directory

National Provider Directory
Tax ID family
Dental Dept Brattleboro5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523577600000",
    "number": "1861749913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053020101",
            "telephone_number": "802-257-7785",
            "fax_number": "802-258-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ANNA MARSH LANE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053010101",
            "telephone_number": "802-257-7785",
            "fax_number": "802-258-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRATTLEBORO RETREAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-08",
        "last_updated": "2018-04-13",
        "status": "A",
        "authorized_official_last_name": "BOKUM",
        "authorized_official_first_name": "CLARE",
        "authorized_official_title_or_position": "REVENUE INTEGRITY SUPERVISOR",
        "authorized_official_telephone_number": "802-258-4302"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "VT",
            "license": "761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; 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.