CONNECTICUT VALLEY RECOVERY SERVICES, INC.
NPI 1639381668
Internal Medicine - Addiction Medicine in Windsor, VT

NPI Status: Active since May 03, 2007

Contact Information

141 ETTA FRASIER DR
WINDSOR, VT
ZIP 05089
Phone: (802) 674-9400
Fax: (802) 674-9410

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  • Organization
  • Internal Medicine
  • Addiction Medicine

About CONNECTICUT VALLEY RECOVERY SERVICES, INC.

This page provides the complete NPI Profile along with additional information for Connecticut Valley Recovery Services, Inc., an internist established in Windsor, Vermont operating as a Internal Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1639381668 assigned on May 2007. The practitioner's primary taxonomy code is 207RA0401X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Clifton Frederick Lord Md (President)

NPI
1639381668
Provider Name
CONNECTICUT VALLEY RECOVERY SERVICES, INC.
Entity Type
Organization
Location Address
141 ETTA FRASIER DR WINDSOR, VT 05089
Location Phone
(802) 674-9400
Location Fax
(802) 674-9410
Mailing Address
141 ETTA FRASIER DR WINDSOR, VT 05089
Mailing Phone
(802) 674-9400
Mailing Fax
(802) 674-9410
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-03-2007
Last Update Date
06-08-2020
Code Navigator

An internist like Connecticut Valley Recovery Services, Inc. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Addiction Medicine

Taxonomy Code
207RA0401X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. CLIFTON FREDERICK LORD MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(802) 356-6496

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0006638MEDICAID (05)VT 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639381668
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669682612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 6 + 8 + 2 + 6 + 1 + 2 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1639381668 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316209109 KAREN D MCGINTY LICSW
Individual
Social Worker (Clinical)141 ETTA FRASIER DR
WINDSOR, VT 05089
(802) 674-9400
1851850432 OWEN MURRAY LMFT
Individual
Marriage & Family Therapist141 ETTA FRASIER DR
WINDSOR, VT 05089
(802) 674-9400
1063066538 ASHLEY HUTTON LADC
Individual
Counselor (Addiction (Substance Use Disorder))141 ETTA FRASIER DR
WINDSOR, VT 05089
(802) 674-9400
1750932646CONNECTICUT VALLEY ADDICTION RECOVERY, INC
Organization
Internal Medicine (Addiction Medicine)141 ETTA FRASIER DR
WINDSOR, VT 05089
(802) 674-9400
1023529864 KATRINA M. WHYMAN MS
Individual
Counselor (Addiction (Substance Use Disorder))141 ETTA FRASIER DR
WINDSOR, VT 05089
(802) 674-9400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639381668, enumerated in the NPI registry as an "organization" on May 03, 2007

The provider is located at 141 Etta Frasier Dr Windsor, Vt 05089 and the phone number is (802) 674-9400

This medical organization specializes in Internal Medicine with taxonomy code 207RA0401X with a focus in Addiction Medicine

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 03, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.