# BRADFORD PSYCHIATRIC ASSOCIATES. LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184747339
- **Authorized official:** JENNIFER LEE LAUGHLIN (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (802) 775-7798

## Contact information

- **Practice address:** 199 STRATTON RD STE 1, RUTLAND, VT 05701-4892
- **Practice address phone:** (802) 775-7798
- **Practice address fax:** (802) 775-7762
- **Mailing address:** 199 STRATTON RD STE 1, RUTLAND, VT 05701-4892
- **Mailing address phone:** (802) 775-7798
- **Mailing address fax:** (802) 775-7762

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 07/30/2025