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Active NPI 1336500909 Organization (Entity Type 2)

Ejd, Llc

Community/Behavioral Health • Middlesex, VT

About Ejd, Llc NPI 1336500909 Summary

Ejd, Llc is a verified healthcare organization specializing in Community/Behavioral Health operating in Middlesex, VT. Located at 33 BUSHEY RD, this facility provides patient care and medical services under National Provider Identifier (NPI) 1336500909.

Administrative operations and authorized compliance are overseen by Dana Demartino (Psychotherapist).

Facility Location & Contact Primary Location

Facility Address

33 Bushey Rd

Middlesex, VT 056029200

Telephone 8027302950

Authorized Official Information

Authorized Contact Name

MRS. Dana Demartino

Title / Role

Psychotherapist

Official Telephone

8027302950

Facility Classifications & Specialties

Community/Behavioral Health Primary Taxonomy

NUCC Taxonomy Code: 251S00000X

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active March 10, 2016

NPI status registered as active in NPPES database

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Updated Practice Location March 10, 2016

Registered at 33 BUSHEY RD, MIDDLESEX, VT 056029200 (Tel: 8027302950)

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Updated Business Mailing Address March 10, 2016

Registered at 136 N MAIN ST STE 1, BARRE, VT 056414118 (Tel: 8027302950)

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Organization / Clinic Name Updated March 10, 2016

Operating as EJD, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2016

Community/Behavioral Health

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Initial NPI Registration & Enumeration March 10, 2016

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1336500909

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: March 10, 2016

Last Update: March 10, 2016

Update or Correct Listing

Mailing Address

136 N Main St Ste 1

Barre, VT 056414118

Phone: 8027302950

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.