Active NPIIndividual providerSole proprietor

Mr. Patrick J Cavanaugh, MED

Counselor, Mental Health in Brattleboro, Vermont

NPI Number1366711715
Practice location
167 Main Street, Brattleboro, VT 05301
Fax
—
Last updated
December 14, 2011

Patrick Joseph Cavanaugh is a Counselor, Mental Health based in Brattleboro, VT. Patrick Joseph Cavanaugh practices in Brattleboro, VT and has the professional credentials of MED. The NPI Number for Patrick Joseph Cavanaugh is 1366711715 and holds a License No. 068-0000611 (VT). The current practice location address for Patrick Joseph Cavanaugh is 167 Main Street, Brattleboro, VT 05301 and can be reached out via phone at 802-387-2300.

Provider Profile Details

NPI Number
1366711715
Provider Name
Patrick Joseph Cavanaugh
Credential
MED
Provider Entity Type
Individual
Gender
Male
Address
167 Main Street, Brattleboro, VT 05301
Phone Number
802-387-2300
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
December 14, 2011
Last Update Date
December 14, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
167 Main Street
Brattleboro, VT 05301
State
Vermont
Zip
05301
Phone Number
802-387-2300
Brattleboro, VT 05301Get directions →

Provider Business Mailing Address Details

Address
369 Dorsch Hl
Westminster West, VT 05346-9030
City
Westminster West
State
VT
Zip
05346-9030
Phone Number
802-387-2300

License Information

License Number
068-0000611
License State
VT
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Patrick J Cavanaugh, MED?

The NPI number of Mr. Patrick J Cavanaugh, MED is 1366711715. It was assigned on December 14, 2011 and is currently active in the NPPES registry.

What is the specialty of Mr. Patrick J Cavanaugh, MED?

Mr. Patrick J Cavanaugh, MED is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in VT under license number 068-0000611.

Where does Mr. Patrick J Cavanaugh, MED practice?

The practice location is 167 Main Street, Brattleboro, VT 05301. The office can be reached at 802-387-2300 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366711715 directly on the NPPES registry website.

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