| Bps Health Llc | |
|
53 Old Farm Rd Stowe VT 05672-4434 | |
| (802) 373-2909 | |
| Not Available |
| Full Name | Bps Health Llc |
|---|---|
| Speciality | Psychologist |
| Location | 53 Old Farm Rd, Stowe, Vermont |
| Authorized Official Name and Position | Richard T Barnett (OWNER) |
| Authorized Official Contact | 8023732909 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bps Health Llc 56 Old Farm Rd Stowe VT 05672-4434 Ph: (802) 373-2909 | Bps Health Llc 53 Old Farm Rd Stowe VT 05672-4434 Ph: (802) 373-2909 |
| NPI Number | 1457667503 |
|---|---|
| Provider Enumeration Date | 08/27/2010 |
| Last Update Date | 09/06/2019 |
| Medicare PECOS PAC ID | 5193053023 |
|---|---|
| Medicare Enrollment ID | O20190829003175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457667503 | NPI | - | NPPES |
| OVN3675 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 860 (Vermont) | Primary |
| Provider Name | Richard T Barnett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205844883 PECOS PAC ID: 5597712877 Enrollment ID: I20050407001308 |
| Provider Name | Shaina M Lussier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669948279 PECOS PAC ID: 3072866250 Enrollment ID: I20181106000996 |
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