Clara Martin Center is a Substance Use Disorder Rehabilitation Clinic/Center based in Randolph, VT and is specialized in Rehabilitation, Substance Use Disorder. Clara Martin Center practices in Randolph, VT. The NPI Number for Clara Martin Center is 1386710861 and holds a License No. (Vermont).
The current practice location address for Clara Martin Center is 11 S Main St, Randolph, VT and can be reached out via phone at 802-728-4466 and via fax at 802-728-4197.
Location: 11 S Main St, Randolph, VT, 05060
Provider Profile Details
NPI Number
1386710861
Provider Name
Clara Martin Center
Credential
Provider Entity Type
Organization
Address
11 S Main St, Randolph, VT, 05060
Phone Number
802-728-4466
Fax Number
802-728-4197
Provider Enumeration Date
11/28/2006
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003145 | 05 | VT | |
| T000381 | 01 | VT | TRICARE |
| VT6178 | 01 | VT | BLUE CROSS |
| 63909C | 01 | VT | MVP |
| 93909A | 01 | VT | MVP |
| 93909 | 01 | VT | MVP |
| 1007256 | 05 | VT | |
| 1009814 | 05 | VT | |
| 1027774 | 01 | VT | CIGNA |
| 00800321 | 01 | VT | BLUE CROSS |
| 1009815 | 05 | VT | |
| 63909A | 01 | VT | MVP |
| 00006178 | 05 | VT | |
| 1006421 | 05 | VT | |
| 50Y083800VT01 | 01 | VT | ANTHEM |
| 63909 | 01 | VT | MVP |
| 93909C | 01 | VT | MVP |
Provider Business Practice Location Address Details
Address
11 S Main St
City
State
Zip
05060-1330
Phone Number
802-728-4466
Fax Number
802-728-4197
Provider Business Mailing Address Details
Address
11 S Main St
City
State
Zip
05060-1330
Phone Number
802-728-4466
Fax Number
802-728-4197
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Behavior Analyst
Speciality
-
Taxonomy
License No.
()
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
License No.
()
Definition
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.
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Provider's Taxonomy Details 7
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Public Health, State or Local
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 8
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
()
Definition
Definition to come...
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