NPI 1184747339 · live from the CMS NPI Registry
Bradford Psychiatric Associates. LLC
Internal Medicine, Addiction Medicine in Rutland, VT. National Provider Identifier 1184747339, active.
NPI record
| NPI | 1184747339 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Addiction Medicine 207RA0401X |
| Practice location | 199 Stratton Rd Ste 1, Rutland, VT 05701 |
| Practice phone | 802-775-7798 |
| Enumerated | April 10, 2007 |
| Last updated | July 30, 2025 |
| Authorized official | Jennifer Laughlin, Practice Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Internal Medicine | 207R00000X | — |
| Physician Assistant | 363A00000X | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — |
| Internal Medicine, Addiction Medicine primary | 207RA0401X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.