NPIMap

Organization Active NPI

Recovery House, Inc.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Wallingford, VT
National Provider Identifier
1922051242
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
Legal business name
RECOVERY HOUSE, INC.
Practice address
98 Church St
Wallingford, VT 05773-9650
Phone
(802) 446-2640
Fax
(802) 446-2636
NPI assigned
May 18, 2006
Last updated
Nov 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Authorized official

Name
Suzanne M Fitzsimmons
Title
Business Manager
Phone
(802) 446-2640

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X NU Primary
Substance Abuse Rehabilitation Facility 324500000X NU

Addresses

Primary practice location

98 Church St
Wallingford, VT 05773-9650

Mailing address

PO Box 207
Wallingford, VT 05773-0207
Phone (802) 446-2640

Other identifiers 1

IdentifierTypeStateIssuer
0000303MedicaidVT

National Provider Directory

National Provider Directory
Tax ID family
Recovery House Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1922051242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "WALLINGFORD",
            "state": "VT",
            "postal_code": "057730207",
            "telephone_number": "802-446-2640",
            "fax_number": "802-446-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 CHURCH ST",
            "city": "WALLINGFORD",
            "state": "VT",
            "postal_code": "057739650",
            "telephone_number": "802-446-2640",
            "fax_number": "802-446-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "FITZSIMMONS",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "802-446-2640"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000303",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.