1. Home
  2. Directory
  3. Vermont
  4. Waterbury
  5. Psychiatry Neurology
  6. NPI Profile

VERMONT STATE HOSPITAL
NPI 1215017678
Psychiatry & Neurology - Psychiatry in Waterbury, VT

Active since October 17, 2006
103 SOUTH MAIN STREET, WATERBURY, VT 05671(802) 241-3009(802) 241-1439 Get Directions Write a Review

NPPES record last updated: April 23, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vermont State Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VERMONT STATE HOSPITAL (NPI 1215017678) is a healthcare organization registered as a psychiatry in Waterbury, Vermont and active in the NPI registry since October 2006. The organization lists Terry Rowe, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1215017678
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameSTATE OF VERMONT
Location Address103 SOUTH MAIN STREETWaterbury, VT 05671-9800
Mailing Address103 South Main StreetWaterbury, VT 05671-9800 · (802) 241-3009 · Fax (802) 241-1439
Phone(802) 241-3009
Fax(802) 241-1439
Organization SubpartNo
Authorized OfficialTerry RoweExecutive Director · (802) 241-3100
Enumeration DateOctober 17, 2006
Last NPPES UpdateApril 23, 2008
✔ NPI 1215017678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
103 SOUTH MAIN STREET, Waterbury, VT 05671
Open in Google Maps ↗

Other Names 1

Doing Business AsVermont State Hospital

Other Identifiers 5

Medicare ID-Type Unspecified474003
Medicare ID-Type UnspecifiedVT4000
Medicaid474002VT
Medicaid474003VT
MedicaidVT4000VT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. RICHARD G MUNSON MD
Psychiatry & Neurology (Psychiatry)
103 SOUTH MAIN STREET, VERMONT STATE HOSPITAL
WATERBURY, VT 05671
Washington County (802) 241-3009
MS. KATHLEEN DAYE MD
General Practice
103 SOUTH MAIN STREET, VERMONT STATE HOSPITAL
WATERBURY, VT 05671
Washington County (802) 241-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is State Of Vermont's NPI number?

The NPI number for State Of Vermont is 1215017678. It was assigned to this organization in the NPPES registry on October 17, 2006. The provider is doing business as Vermont State Hospital.

Where is State Of Vermont located?

State Of Vermont is located at 103 South Main Street, Waterbury, VT 05671. The listed phone number is (802) 241-3009.

What is State Of Vermont's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for State Of Vermont was last updated on April 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.