| Pathways Vermont, Inc. | |
|
279 N Winooski Ave Burlington VT 05401-3620 | |
| (888) 492-8218 | |
| (855) 362-2766 |
| Full Name | Pathways Vermont, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 279 N Winooski Ave, Burlington, Vermont |
| Authorized Official Name and Position | Hilary Melton (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8884928218 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways Vermont, Inc. 125 College St 2nd Floor Burlington VT 05401-8444 Ph: (888) 492-8218 | Pathways Vermont, Inc. 279 N Winooski Ave Burlington VT 05401-3620 Ph: (888) 492-8218 |
| NPI Number | 1902207988 |
|---|---|
| Provider Enumeration Date | 09/10/2014 |
| Last Update Date | 03/13/2017 |
| Medicare PECOS PAC ID | 1759690027 |
|---|---|
| Medicare Enrollment ID | O20151028000151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902207988 | NPI | - | NPPES |
| 1018408 | Medicaid | VT | |
| 1023889 | Medicaid | VT | |
| 1023890 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Michael E Rapaport |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134146962 PECOS PAC ID: 1658352869 Enrollment ID: I20040525000829 |
| Provider Name | Nels A Kloster |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952354680 PECOS PAC ID: 8921035734 Enrollment ID: I20050725000065 |
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