| Rrmc Psychiatry Dept. | |
|
160 Allen St Rutland VT 05701-4560 | |
| (802) 775-7111 | |
| (802) 775-7214 |
| Full Name | Rrmc Psychiatry Dept. |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 160 Allen St, Rutland, Vermont |
| Authorized Official Name and Position | Judi K Fox (CFO) |
| Authorized Official Contact | 8027471630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rrmc Psychiatry Dept. 160 Allen St Rutland VT 05701-4560 Ph: (802) 775-7111 | Rrmc Psychiatry Dept. 160 Allen St Rutland VT 05701-4560 Ph: (802) 775-7111 |
| NPI Number | 1467416206 |
|---|---|
| Provider Enumeration Date | 04/17/2006 |
| Last Update Date | 11/11/2020 |
| Certification Date | 11/11/2020 |
| Medicare PECOS PAC ID | 7214846377 |
|---|---|
| Medicare Enrollment ID | O20040913000212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467416206 | NPI | - | NPPES |
| 276-4910 | Other | VT | BC PSYCH PROV # |
| 0004910 | Medicaid | VT |
| Provider Name | Jennifer M Fauntleroy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669448981 PECOS PAC ID: 9234028705 Enrollment ID: I20051219000037 |
| Provider Name | Stephen M Knisely |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881769107 PECOS PAC ID: 4385743913 Enrollment ID: I20070622000439 |
| Provider Name | Sheila B Sharrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104092519 PECOS PAC ID: 4183788573 Enrollment ID: I20090129000554 |
| Provider Name | Ronald L Hedgepeth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316175540 PECOS PAC ID: 3072666759 Enrollment ID: I20090728000407 |
| Provider Name | John J Young |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063420891 PECOS PAC ID: 9436051687 Enrollment ID: I20091027000759 |
| Provider Name | Jennifer A Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346566742 PECOS PAC ID: 5496870511 Enrollment ID: I20100914000040 |
| Provider Name | William G Frankle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467474023 PECOS PAC ID: 1153326939 Enrollment ID: I20110524000277 |
| Provider Name | Erin K Hall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932329604 PECOS PAC ID: 7810173093 Enrollment ID: I20110524000569 |
| Provider Name | Karl Jeffries |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922282938 PECOS PAC ID: 8527235621 Enrollment ID: I20130318000337 |
| Provider Name | Steven J Runyan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902049711 PECOS PAC ID: 8325289515 Enrollment ID: I20130731000279 |
| Provider Name | Julie Poulin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699904516 PECOS PAC ID: 9133353485 Enrollment ID: I20130930000092 |
| Provider Name | Tracey E Krasnow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740499656 PECOS PAC ID: 1951440767 Enrollment ID: I20140630001647 |
| Provider Name | Sara J Ronfeld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376683862 PECOS PAC ID: 6305864257 Enrollment ID: I20140805000902 |
| Provider Name | Deborah E Boston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528339959 PECOS PAC ID: 5890914352 Enrollment ID: I20140915001964 |
| Provider Name | Jessica A Clark-keeler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336570886 PECOS PAC ID: 2567755242 Enrollment ID: I20160719001892 |
| Provider Name | Devendra S Thakur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508023003 PECOS PAC ID: 0840433769 Enrollment ID: I20160810002527 |
| Provider Name | Meredith A Kiesel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922450014 PECOS PAC ID: 7214216738 Enrollment ID: I20161128000269 |
| Provider Name | Kelley L Phillips |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124062443 PECOS PAC ID: 6204725260 Enrollment ID: I20170807001551 |
| Provider Name | Stephanie M Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740712827 PECOS PAC ID: 2769756543 Enrollment ID: I20170918001048 |
| Provider Name | Marissa L Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497137277 PECOS PAC ID: 8729316989 Enrollment ID: I20190826002492 |
| Provider Name | Saeed Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275920845 PECOS PAC ID: 7517206055 Enrollment ID: I20200908001169 |
| Provider Name | Connie L Fisk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508297599 PECOS PAC ID: 6901036821 Enrollment ID: I20210113000105 |
| Provider Name | Peter B Henry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528507076 PECOS PAC ID: 9739463142 Enrollment ID: I20210330001092 |
| Provider Name | Samuel A Mccord |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770015091 PECOS PAC ID: 6901177187 Enrollment ID: I20210810003586 |
| Provider Name | Scott D Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235625294 PECOS PAC ID: 8426307778 Enrollment ID: I20210913000646 |
| Provider Name | William A Schaffer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922142090 PECOS PAC ID: 9133265739 Enrollment ID: I20211227000314 |
| Provider Name | Amy Schuett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992717664 PECOS PAC ID: 0345244760 Enrollment ID: I20220217001386 |
| Provider Name | Phillip M Murray |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154646487 PECOS PAC ID: 9436439742 Enrollment ID: I20220927003591 |
| Provider Name | Jonathan D Burgess |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750844601 PECOS PAC ID: 7810220019 Enrollment ID: I20221219002380 |
| Provider Name | Patricia M Kijak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457073108 PECOS PAC ID: 6507236791 Enrollment ID: I20230104002293 |
| Provider Name | Patrick Jung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336501568 PECOS PAC ID: 7719274828 Enrollment ID: I20230417002117 |
| Provider Name | Linda E Callahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346605680 PECOS PAC ID: 1951605229 Enrollment ID: I20230508002179 |
| Provider Name | Melissa C Whitesell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528251113 PECOS PAC ID: 8921186412 Enrollment ID: I20230713001039 |
| Provider Name | Janet M. Grimes |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1528114857 PECOS PAC ID: 0244383693 Enrollment ID: I20230822000344 |
Neurology Micropractice, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 73 Center St, Rutland, VT 05701 Phone: 802-775-7778 Fax: 802-775-7775 | |
Forensic Consultation & Counseling Service, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 135 Granger St, Rutland, VT 05701 Phone: 802-772-0700 Fax: 802-771-8009 | |
Mclellan Psychotherapy Plc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Merchants Row, Rutland, VT 05701 Phone: 802-779-7346 | |
Psychotherapy Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Mahoney Ave, Rutland, VT 05701 Phone: 802-775-2581 Fax: 802-775-3395 | |
The Mentor Connector Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Merchants Row Ste 210, Rutland, VT 05701 Phone: 802-775-3434 | |
Rutland Mental Health Services, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 78 S Main St, Rutland, VT 05701 Phone: 802-775-2381 Fax: 802-747-7699 | |
Bradford Psychiatric Associates. Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 199 Stratton Rd Ste 1, Rutland, VT 05701 Phone: 802-775-7798 Fax: 802-775-7762 |