NORTHEAST KINGDOM HUMAN SERVICES INC SBS – NPI #1902930878
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

NORTHEAST KINGDOM HUMAN SERVICES INC SBS is an AHC clinic located in NEWPORT, VT. NPPES has assigned the NPI number 1902930878 to NORTHEAST KINGDOM HUMAN SERVICES INC SBS on March 15, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0855X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adolescent and Children Mental Health

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTHEAST KINGDOM HUMAN SERVICES INC SBS below.

NPI Profile for
NORTHEAST KINGDOM HUMAN SERVICES INC SBS

NPI Number
1902930878
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHEAST KINGDOM HUMAN SERVICES INC SBS
Primary location
154 DUCHESS ST
NEWPORT, VT 05855
Phone: (802) 334-6744 Fax: (802) 334-7340
Mailing address
PO BOX 724
NEWPORT, VT 05855-0724
Phone: (802) 334-6744 Fax: (802) 334-7340
Organization Subpart
No
Authorized Official
ERIC GRIMS
CHIEF EXECUTIVE OFFICER
Phone: (802) 334-6744
Updated
Identifiers

Identifiers for NORTHEAST KINGDOM HUMAN SERVICES INC SBS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDVT1009783
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0855X
- Clinic/Center / Adolescent and Children Mental Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.