MRS. SUSIE ELIZABETH CARON (NPI# 1093877300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093877300 |
Entity Type | Individual |
Full Name | MRS. SUSIE ELIZABETH CARON |
Credential | M.A. |
Practice Address |
325 Swamp Rd Fairfax VT 05454-9777 |
Mailing Address |
Po Box 275 Fairfax VT 05454-0275 |
Practice Telephone | 8028492777 |
Mailing Telephone | 8028492777 |
Enumeration Date | 2006-12-14 |
Last Update Date | 2008-08-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
047-0000717 | VT | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VT | 1011337 | 05 |
Street Address |
325 SWAMP RD |
City | FAIRFAX |
State | VT |
Zip Code | 05454-9777 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255380432 | Carol Thayer | Family Medicine | 4178 Highbridge Rd, Georgia, VT 05454 | 2006-05-08 |
1588691778 | Fairfax Ems Inc | Ambulance | 14 Goodall Street, Fairfax, VT 05454-0428 | 2006-06-26 |
1578891040 | Chelsea C Clark | Registered Nurse | 15 East Rd Unit 102, Fairfax, VT 05454-4450 | 2009-11-22 |
1386279115 | Kristen Nicole Scullin | Physical Therapist | 1282 Main St, Fairfax, VT 05454-4456 | 2020-03-12 |
1801451414 | Casey D'alberto | Physical Therapist | 1282 Main St, Fairfax, VT 05454-4456 | 2019-05-08 |
1558692681 | Jacquelyn Lewis | Specialist | 1193 Ethan Allen Hwy, Fairfax, VT 05454-5433 | 2010-01-29 |
1912463712 | Sherry Lynne Cushing | Massage Therapist | 1091 Ethan Allen Hwy, Fairfax, VT 05454-5435 | 2019-02-16 |
1235188418 | Miriam S Sturgis | Family Medicine | 4178 Highbridge Rd, Georgia, VT 05454-5446 | 2006-05-08 |
1033476965 | Sarah Desilvey | Nurse Practitioner | 4178 Highbridge Rd, Fairfax, VT 05454-5446 | 2012-04-17 |
1417287665 | Northwestern Medical Center, Inc. | Clinic/Center | 4178 Highbridge Rd, Fairfax, VT 05454-5446 | 2010-01-12 |
Find all providers in zip 05454 |
Taxonomy Code | 103TC2200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical Child & Adolescent |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457644585 | Tara Banks Wallace | Psychologist | 8626 Lee Hwy Ste 200, Fairfax, VA 22031-2135 | 2011-05-23 |
1770656035 | Childhelp,inc. | Psychologist | 11230 Waples Mill Rd Ste 105, Fairfax, VA 22030-6002 | 2006-11-16 |
1245685783 | Michelle Hendrickson | Psychologist | 11204 Waples Mill Rd, Fairfax, VA 22030-6036 | 2016-05-03 |
1285970087 | Catherine A Rathman | Psychologist | 11204 Waples Mill Rd, Fairfax, VA 22030-6036 | 2012-12-26 |
1407052905 | Deborah Cohen | Psychologist | 10339a Democracy Lane, Fairfax, VA 22030 | 2007-06-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497931992 | Vermont Psychological Solutions, Plc | Psychologist | 1 Kennedy Dr Ste U8, South Burlington, VT 05403-7166 | 2008-01-14 |
1538290523 | Mark Carpenter Mumford | Psychologist | Counseling Service of Addison County,inc., 89 Main Street, Middlebury, VT 05753 | 2007-03-08 |
1255481529 | Allen Moulton | Psychologist | 234 Maple St, Stowe, VT 05672-4248 | 2007-01-11 |
1184735466 | David R Ritter | Psychologist | 14 S Williams St, Burlington, VT 05401-3400 | 2006-08-31 |
1134132053 | Robert Charles Hemmer | Psychologist | 5271 Main St, Manchester Center, VT 05255-9776 | 2006-08-14 |
1114983939 | Clifford Miles Karmiohl | Psychologist | 22 Patchen Rd, South Burlington, VT 05403-5704 | 2006-04-21 |
1740798453 | Pamela Swift | Psychologist | 1 S Prospect St, Burlington, VT 05401-3456 | 2018-01-16 |
1669990529 | Charles R. Myers | Psychologist | 30 Airport Rd, South Burlington, VT 05403-6432 | 2017-08-31 |
1497172704 | Amy Paysnick | Psychologist | 12 Pearl St, Essex Junction, VT 05452-3604 | 2014-03-25 |
1295056356 | K and L Associates | Psychologist | 160 Benmont Ave, Bennington, VT 05201-1873 | 2010-06-11 |
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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.