LYNN M.H. WICKBERG (NPI# 1013014059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013014059 |
| Entity Type | Individual |
| Full Name | LYNN M.H. WICKBERG |
| Credential | MD |
| Practice Address |
390 River St. Springfield VT 05156-2226 |
| Practice Telephone | 8028864500 |
| Practice Fax Number | 2828864520 |
| Mailing Telephone | 8028864500 |
| Mailing Fax Number | 2828864520 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
042-0009565 | VT | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
11404 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 81263595 | 05 | |
| VT | 1007840 | 05 |
| Street Address |
390 RIVER ST. |
| City | SPRINGFIELD |
| State | VT |
| Zip Code | 05156-2226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629066352 | Desiree Biesheuvel | Psychologist | 390 River St., Springfield, VT 05156-2226 | 2005-10-06 |
| 1508181868 | Lori L. Macie | Counselor | 390 River St., Hcrs, Springfield, VT 05156-2226 | 2010-03-30 |
| 1740485747 | Erin F. Boxer | Counselor | 390 River St., Hcrs, Springfield, VT 05156-2226 | 2007-06-19 |
| 1902024193 | Philip W. Sharp | Counselor | 390 River St., Springfield, VT 05156 | 2007-04-23 |
| 1831217793 | Diane L. Reynolds | Psychologist | 390 River St., Springfield, VT 05156 | 2007-03-27 |
| 1619096302 | Deborah Kelin Smith | Counselor | 390 River St., Springfield, VT 05156 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790282580 | Meghan Elizabeth Thomas | Specialist/Technologist | 6 Lincoln St, Springfield, VT 05156 | 2018-04-09 |
| 1578070561 | Claudia Franc Williams | Nurse Practitioner | Springfield Medical Care Systems, Inc. 25 Ridgewood Rd, Springfield, VT 05156 | 2017-12-29 |
| 1528443405 | Dan Ciobanu | Dentist | 700 Charlestown Rd., Springfield, VT 05156 | 2015-07-21 |
| 1871869479 | L & M Family Care Givers Inc | Home Health | 365 Summer Street, Suite 204b, Springfield, VT 05156 | 2012-03-28 |
| 1811200710 | Jessica Anne White | Physician Assistant | 25 Ridgewood Rd., Esne, Springfield, VT 05156 | 2010-07-20 |
| 1417126889 | Richard A. Lane Md PC | Ophthalmology | 441 River Street, Springfield, VT 05156 | 2008-02-29 |
| 1780700609 | James Rizzo | Chiropractor | 160 Wall Street, Springfield, VT 05156 | 2007-03-22 |
| 1023186202 | Theodore Bennett Robbins | Psychiatry & Neurology | 197 Union Street, Springfield, VT 05156 | 2006-12-04 |
| 1225103534 | Katherine M Duhamel | Counselor | 107 Park Street, Springfield, VT 05156 | 2006-11-21 |
| 1306911615 | Meghen Anne Clancy | Clinical Nurse Specialist | Health Care and Rehabilitation Center, 107 Park St, Springfield, VT 05156 | 2006-11-21 |
| Find all providers in zip 05156 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104234046 | Hitekshya Nepal | Psychiatry & Neurology | 5230 6th Street Frontage Rd E, Springfield, IL 62703-5128 | 2014-07-23 |
| 1700931433 | Purificacion Geronimo-flores | Psychiatry & Neurology | Mspcc, 235 Chestnut Street, Springfield, MA 01103 | 2007-01-24 |
| 1073607495 | Hayley Marks Cohen | Psychiatry & Neurology | 28 Millburn Avenue, Suite 3, Springfield, NJ 07081 | 2006-10-02 |
| 1679841381 | Rashi Govil | Psychiatry & Neurology | 417 Liberty St, Behavioral Health Network, Inc., Springfield, MA 01104-3736 | 2011-12-08 |
| 1174838452 | Nasir Iqbal Ahmad | Psychiatry & Neurology | 5220 S 6th Street Rd, Suite 1200, Springfield, IL 62703-5735 | 2010-08-11 |
| 1912138660 | Othman M Mohammad | Psychiatry & Neurology | 3300 Main St Fl 4, Springfield, MA 01107-1112 | 2009-07-29 |
| 1235382771 | David J Wood Md Frcpc,pc | Psychiatry & Neurology | 6551 Loisdale Ct, Suite 155, Springfield, VA 22150-1828 | 2008-10-28 |
| 1366638553 | Dennis Elroy Reynolds | Psychiatry & Neurology | 3995 Marcola Road, Springfield, OR 97477 | 2007-09-20 |
| 1790982668 | Zafar Abdur Rasheed | Psychiatry & Neurology | 8348 Traford Ln, 4th Floor, Springfield, VA 22152-1663 | 2007-07-02 |
| 1912053877 | Nathan P Somers | Psychiatry & Neurology | 3300 Main St, Springfield, MA 01107-1112 | 2007-01-25 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 05156 |
Please comment or provide details below to improve the information on LYNN M.H. WICKBERG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.