| Nfi Vermont, Inc | |
|
30 Airport Rd South Burlington VT 05403-6432 | |
| (802) 658-0040 | |
| (802) 658-0216 |
| Full Name | Nfi Vermont, Inc |
|---|---|
| Speciality | Psychiatric Residential Treatment Facility |
| Location | 30 Airport Rd, South Burlington, Vermont |
| Authorized Official Name and Position | Charles R Myers (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8026580040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nfi Vermont, Inc 30 Airport Rd South Burlington VT 05403-6432 Ph: (802) 658-0040 | Nfi Vermont, Inc 30 Airport Rd South Burlington VT 05403-6432 Ph: (802) 658-0040 |
| NPI Number | 1497885107 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6709220577 |
|---|---|
| Medicare Enrollment ID | O20240220003094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497885107 | NPI | - | NPPES |
| 1004136 | Medicaid | VT | |
| 1007658 | Medicaid | VT | |
| 00068960 | Other | VT | BC-BS PROVIDER ID# |
| 00068969 | Other | VT | BC-BS PROVIDER ID# |
| 1011116 | Medicaid | VT | |
| 1004944 | Medicaid | VT | |
| 960839 | Other | VT | MVP PROVIDER ID# |
| 6030011 | Medicaid | VT |
| Provider Name | Linda Li |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811399843 PECOS PAC ID: 9537481601 Enrollment ID: I20141126000490 |
| Provider Name | Rachel Hutchinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871163162 PECOS PAC ID: 8325482003 Enrollment ID: I20240221002461 |
| Provider Name | Nicholas Grudev |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053955773 PECOS PAC ID: 4486098183 Enrollment ID: I20240221002988 |
| Provider Name | Erika Meierdiercks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245696319 PECOS PAC ID: 6901241330 Enrollment ID: I20240226001668 |
| Provider Name | Elizabeth Griswold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376976100 PECOS PAC ID: 2860838810 Enrollment ID: I20240312003804 |
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