JEREMY DIXON BIRCH (NPI# 1053482638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053482638 |
| Entity Type | Individual |
| Full Name | JEREMY DIXON BIRCH |
| Credential | PHD |
| Practice Address |
73 Main St Brattleboro VT 05301-3909 |
| Mailing Address |
136 Birch Ln Putney VT 05346-9392 |
| Practice Telephone | 8022579468 |
| Mailing Telephone | 8022579468 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 048-0000049 | VT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0006514 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881210029 | Jeremy Nathan Birch | Physician Assistant | 1287 San Moritz Dr, San Jose, CA 95132-2754 | 2020-06-23 |
| Street Address |
73 MAIN ST |
| City | BRATTLEBORO |
| State | VT |
| Zip Code | 05301-3909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902340029 | Allan Steinberg | Psychologist | 73 Main St, Suite # 3, Brattleboro, VT 05301 | 2016-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013575372 | Roberta M. White | Psychologist | 72 Whetstone Rd, Brattleboro, VT 05301 | 2019-06-03 |
| 1225526940 | Audrey Johnston | Nurse Practitioner | Brattleboro Family Medicine, 53 Fairview Street, Brattleboro, VT 05301 | 2018-04-27 |
| 1811349582 | Jillian Barney | Physician Assistant | 17 Belmont Ave Richards Building (1st Floor), Barttleboro, VT 05301 | 2016-07-06 |
| 1326413899 | Gabriella Neacsu Katz | Nurse Practitioner | 1860 Weatherhead Hollow Rd, Guilford, VT 05301 | 2015-12-09 |
| 1942608914 | Kathryn Peterson | Registered Nurse | 105 Winter St Apt 2, Brattleboro, VT 05301 | 2014-12-08 |
| 1558762823 | Saryn T Lauzon | Registered Nurse | 2 Maplewood Drive, Brattleboro, VT 05301 | 2014-09-05 |
| 1912248691 | Robert Joseph Stack | Counselor | 1 Linden Street, Brattleboro, VT 05301 | 2013-03-06 |
| 1053651760 | Christopher M. Deszynski | Naturopath | 73 Main St Ste 4, Brattleboro, VT 05301 | 2013-02-18 |
| 1518236355 | Christine Hamrin | Licensed Practical Nurse | 54 Spruce Street, Brattleboro, VT 05301 | 2011-12-23 |
| 1881924934 | Margrit C. Mikulis | Naturopath | 147 Orchard St, Brattleboro, VT 05301 | 2010-01-12 |
| Find all providers in zip 05301 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023230307 | Stephanie Case | Psychologist | 14 Park Place, Brattleboro, VT 05301 | 2007-05-03 |
| 1649324617 | Elizabeth Elharis Dakavana | Psychologist | 105 Highland Street, Brattleboro, VT 05301 | 2007-01-23 |
| 1801943329 | Alexa C Berton | Psychologist | 50 Elliot Street, Suite A, Brattleboro, VT 05301-3274 | 2007-01-05 |
| 1306146931 | Barry P Nelson | Psychologist | 51 Fairview St, Brattleboro, VT 05301-6629 | 2010-10-29 |
| 1114045671 | Lisa L Nicholson | Psychologist | 29 Elm St, Brattleboro, VT 05301-6511 | 2007-03-26 |
| 1487795894 | Joesph M. Pumilia | Psychologist | 139 Main St, Suite 606a, Brattleboro, VT 05301-3040 | 2007-02-09 |
| 1861530313 | Stephen B Carlton | Psychologist | 67 Main St, Suite #33, Brattleboro, VT 05301-3908 | 2007-02-04 |
| 1972650703 | Barbara A Belcher-timme | Psychologist | 139 Main St, Suite 708, Brattleboro, VT 05301-3040 | 2007-01-04 |
| 1134284623 | Carolyn E Fish | Psychologist | 67 Main St, Suite 42, Brattleboro, VT 05301-3908 | 2006-12-26 |
| 1427117191 | Karen Kamenetzky | Psychologist | 167 Main St, Suite 16, Brattleboro, VT 05301-7128 | 2006-12-08 |
| Find all providers in BRATTLEBORO | ||||
| City | BRATTLEBORO |
| Zip Code | 05301 |
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| 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.