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KINGDOM THERAPEUTICS AT SAFE HAVEN FARM, INCORPORATED
NPI 1609462605
Clinic/Center - Mental Health (Including Community Mental Health Center) in Derby, VT

Active since December 15, 2020

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kingdom Therapeutics At Safe Haven Farm, Incorporated NPPES

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

KINGDOM THERAPEUTICS AT SAFE HAVEN FARM, INCORPORATED (NPI 1609462605) is a healthcare organization registered as a mental health (including community mental health center) in Derby, Vermont and active in the NPI registry since December 2020. The organization lists Kristen Watson, Clinical Mental Health Counselor, as its authorized official.

NPPES Registry Identity

NPI1609462605
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameKINGDOM THERAPEUTICS AT SAFE HAVEN FARM, INCORPORATED
Location Address4095 GORE RDDerby, VT 05829-9408
Mailing Address2735 Dane Hill RdWest Charleston, VT 05872-9581 · (802) 673-6476
Phone(802) 673-6476
Organization SubpartNo
Authorized OfficialKristen WatsonClinical Mental Health Counselor · (802) 673-6476
Enumeration DateDecember 15, 2020
NPPES CertifiedDecember 15, 2020
✔ NPI 1609462605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
4095 GORE RD, Derby, VT 05829
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Other Providers at the Same Location NPPES

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

KRISTEN ELIZABETH WATSON LCMHC
Counselor (Mental Health)
4095 GORE RD
DERBY, VT 05829
Orleans County (802) 895-4166

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 Kingdom Therapeutics At Safe Haven Farm, Incorporated's NPI number?

The NPI number for Kingdom Therapeutics At Safe Haven Farm, Incorporated is 1609462605. It was assigned to this organization in the NPPES registry on December 15, 2020.

Where is Kingdom Therapeutics At Safe Haven Farm, Incorporated located?

Kingdom Therapeutics At Safe Haven Farm, Incorporated is located at 4095 Gore Rd, Derby, VT 05829. The listed phone number is (802) 673-6476.

What is Kingdom Therapeutics At Safe Haven Farm, Incorporated's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Kingdom Therapeutics At Safe Haven Farm, Incorporated was last updated on December 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.