| Rutland Mental Health Services, Inc. | |
|
78 S Main St Rutland VT 05701-4530 | |
| (802) 775-2381 | |
| (802) 747-7699 |
| Full Name | Rutland Mental Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 78 S Main St, Rutland, Vermont |
| Authorized Official Name and Position | Linda Heald (COORDINATOR AR) |
| Authorized Official Contact | 8027758224 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rutland Mental Health Services, Inc. 78 S Main St Rutland VT 05701-4530 Ph: (802) 775-8224 | Rutland Mental Health Services, Inc. 78 S Main St Rutland VT 05701-4530 Ph: (802) 775-2381 |
| NPI Number | 1164417283 |
|---|---|
| Provider Enumeration Date | 09/14/2005 |
| Last Update Date | 11/07/2023 |
| Certification Date | 11/07/2023 |
| Medicare PECOS PAC ID | 6709850324 |
|---|---|
| Medicare Enrollment ID | O20040820000343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164417283 | NPI | - | NPPES |
| 00800315 | Other | VT | BCBS QUITTING TIME |
| 1002799 | Medicaid | VT | |
| 1007264 | Medicaid | VT | |
| 00800892 | Other | VT | BCBS PARTIAL |
| 1001099 | Medicaid | VT | |
| 1007919 | Medicaid | VT | |
| 5551A | Other | VT | MVP PHD AND MASTERS |
| 00018644 | Other | VT | BCBS EVERGREEN |
| 1009761 | Medicaid | VT | |
| 00006063 | Other | VT | BCBS |
| 1009760 | Medicaid | VT | |
| 5551 | Other | VT | MVP |
| 5551B | Other | VT | MVP MD |
| 0006063 | Medicaid | VT | |
| 047M016 | Medicaid | VT | |
| 1006424 | Medicaid | VT | |
| 303598 | Other | VT | VALUE OPTIONS |
| Provider Name | Kathleen C Pittaway |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477678829 PECOS PAC ID: 2961410451 Enrollment ID: I20060324000278 |
| Provider Name | Judith H Tietz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518958990 PECOS PAC ID: 3375552391 Enrollment ID: I20060419000211 |
| Provider Name | Neil Senior |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588698252 PECOS PAC ID: 0941203988 Enrollment ID: I20060814000137 |
| Provider Name | Jane M Worley |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1881682516 PECOS PAC ID: 7618036658 Enrollment ID: I20130426000088 |
| Provider Name | Kay A Marttila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356520431 PECOS PAC ID: 2062679582 Enrollment ID: I20151016000569 |
| Provider Name | Laura E Kass |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679508899 PECOS PAC ID: 3870596075 Enrollment ID: I20160202002728 |
| Provider Name | Jayme Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396115648 PECOS PAC ID: 0749588630 Enrollment ID: I20160408001332 |
| Provider Name | Hillary Ward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184087231 PECOS PAC ID: 9830489558 Enrollment ID: I20160608000461 |
| Provider Name | Joanne M Matthew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922411420 PECOS PAC ID: 4284854571 Enrollment ID: I20170523001597 |
| Provider Name | Douglas W Norford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134209414 PECOS PAC ID: 9830526243 Enrollment ID: I20200225001214 |
| Provider Name | Lorene B Zeif |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003215690 PECOS PAC ID: 0749689115 Enrollment ID: I20210604002106 |
| Provider Name | Lori M Brown-stone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114574365 PECOS PAC ID: 7012360266 Enrollment ID: I20240124002804 |
| Provider Name | Theresa L Hoffmann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497264931 PECOS PAC ID: 9436502135 Enrollment ID: I20240130000849 |
| Provider Name | Kate Schirmer-smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710047477 PECOS PAC ID: 3173968286 Enrollment ID: I20240228003778 |
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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 | |
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