Stowe Therapeutic Solutions, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

STOWE THERAPEUTIC SOLUTIONS, LLC

Practice address

3180 Mountain Rd
Stowe, VT 05672-4804

Phone

(561) 891-9643

NPI assigned

Sep 2, 2022

Organization subpart

No

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

Authorized official

Name

Sean Ryan, LICSW, LADCNPI 1003367319

Title

Prinicpal

Phone

(561) 891-9643

Specialties & licenses 2

Addresses

Other names 1

• Stowe Therapeutic Solutions, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Locations

Practitioners 1

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

• Sean Ryan, LICSW

  • Clinical Social Worker
  • Stowe, VT
  • NPI 1003367319
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1942920442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 TAMARACK LN",
            "city": "WATERBURY CENTER",
            "state": "VT",
            "postal_code": "056774415",
            "telephone_number": "561-891-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 MOUNTAIN RD",
            "city": "STOWE",
            "state": "VT",
            "postal_code": "056724804",
            "telephone_number": "561-891-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOWE THERAPEUTIC SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PRINICPAL",
        "authorized_official_telephone_number": "561-891-9643",
        "authorized_official_credential": "LICSW, LADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stowe Therapeutic Solutions, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Edward Thorndike, MA, AAP

• Community/Behavioral Health Agency in Stowe, VT
• Providers in Stowe, VT by specialty
• Community/Behavioral Health Agency in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.