PAUL BLACK (NPI# 1104446897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104446897 |
| Entity Type | Individual |
| Full Name | PAUL BLACK |
| Credential | LCMHC |
| Practice Address |
78 S Main St Rutland VT 05701-4594 |
| Practice Telephone | 8027705418 |
| Practice Fax Number | 8027477699 |
| Mailing Telephone | 8027705418 |
| Mailing Fax Number | 8027477699 |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0680127083 | VT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295040020 | Paul Lelan Black | Internal Medicine | 3588 7th Ave, San Diego, CA 92103-5009 | 2010-08-17 |
| 1871618678 | Paul H Black | Internal Medicine | Boston Univ Sch of Med, 715 Albany St, Boston, MA 02118 | 2007-03-20 |
| 1609903053 | Paul Steven Black | Optometrist | 111 D Interstate 45 So, Huntsville, TX 77340 | 2007-02-27 |
| 1225367386 | Paul Alan Black | Pharmacist | 5960 Fm 1103, New Braunfels, TX 78132 | 2009-12-18 |
| 1609030618 | Paul N Black | Psychologist | 20740 S Ellsworth Rd, Queen Creek, AZ 85242-9058 | 2008-07-18 |
| 1285825836 | Paul Clifford Black | Family Medicine | 1000 Gw Ln, Waynesville, MO 65583-2339 | 2007-08-08 |
| 1164631263 | Paul Laurence Black | Dentist | 60 Hodges Ave, Dental Clinic, Taunton, MA 02780-3034 | 2007-05-22 |
| 1336351600 | Paul Robert Black | Pharmacist | 1600 11th St, Wichita Falls, TX 76301-4300 | 2007-05-07 |
| 1427101567 | Paul Ralph Black Jr. | Dentist | 2525 Kimberly Rd, Suite#3, Bettendorf, IA 52722-3538 | 2007-01-20 |
| 1174515399 | Paul Alton Black | Pharmacist | 500 W Fort St, Boise, ID 83702-4501 | 2005-08-16 |
| Street Address |
78 S MAIN ST |
| City | RUTLAND |
| State | VT |
| Zip Code | 05701-4594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164417283 | Rutland Mental Health Services, Inc. | Intermediate Care Facility, Mentally Retarded | 78 S Main St, Rutland, VT 05701-4530 | 2005-09-14 |
| 1962000919 | Larissa Mcdonough | Behavioral Analyst | 78 S Main St, Rutland, VT 05701-4594 | 2020-10-13 |
| 1427686112 | Jade E Melito | Social Worker | 78 S Main St, Rutland, VT 05701-4594 | 2020-03-30 |
| 1326685744 | Megan Claire Sullivan | Behavioral Analyst | 78 S Main St, Rutland, VT 05701-4594 | 2019-12-04 |
| 1114570371 | Jacqueline M Eddy | Social Worker | 78 S Main St, Rutland, VT 05701-4594 | 2019-07-17 |
| 1376035097 | Suzanne Mueller | Counselor | 78 S Main St, Rutland, VT 05701-4594 | 2018-05-30 |
| 1407370570 | Eva M Dickinson | Social Worker | 78 S Main St, Rutland, VT 05701-4591 | 2017-08-01 |
| 1396297594 | Kristen Casella | Counselor | 78 S Main St, Rutland, VT 05701-4594 | 2016-11-04 |
| 1184087231 | Hillary Ward | Social Worker | 78 S Main St, Rutland, VT 05701-4591 | 2016-04-05 |
| 1356710313 | Celida Smith | Social Worker | 78 S Main St, Rutland, VT 05701-4591 | 2015-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639721186 | All Dimensions Primary Care Pllc | Physician Assistant | 92 Allen Street, Rutland, VT 05701 | 2019-07-15 |
| 1962809053 | Laura Kalinen Laprise | Nurse Practitioner | Rutland Community Health Center, 215 Stratton Road, Rutland, VT 05701 | 2014-12-04 |
| 1962818781 | Andrea Louise Welch | Pharmacist | 1 Rutland Shopping Plaza, Rutland, VT 05701 | 2014-07-02 |
| 1396158903 | Gwendolyn Koenig | Counselor | 78 South Main St., Rutland, VT 05701 | 2014-06-11 |
| 1194088195 | Marcie Bouchard | Early Intervention Provider Agency | 24a East Street, Rutland, VT 05701 | 2012-06-25 |
| 1790047009 | Pamela Lenoci | Massage Therapist | 196 Joshua Place, Rutland, VT 05701 | 2012-06-12 |
| 1528339959 | Deborah E. Boston | Social Worker | 128 Merchants Row Ste 510, Rutland, VT 05701 | 2012-01-17 |
| 1235431834 | Alicia Marie Riesterer | Occupational Therapy Assistant | 46 Nichols St., Rutland Healthcare and Rehabilitation Center, Rutland, VT 05701 | 2010-12-02 |
| 1497085401 | Lauren Ann Lasante | Counselor | 198 N Main St Ste C-5, Rutland, VT 05701 | 2010-01-14 |
| 1568692515 | Steven C. Duboff, Dmd, PC | Dentist | 198 North Main St, Rutland, VT 05701 | 2009-07-23 |
| Find all providers in zip 05701 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730633512 | Richards Counseling Services | Counselor | 24 Wales St, Suite 8, Rutland, VT 05701-4042 | 2016-08-09 |
| 1396158903 | Gwendolyn Koenig | Counselor | 78 South Main St., Rutland, VT 05701 | 2014-06-11 |
| 1427391440 | Joseph Matthew Macura | Counselor | 162 N Main St Ste 5, Stoney Brook Plaza, Rutland, VT 05701-3024 | 2013-03-27 |
| 1780957498 | Tracy E Richards | Counselor | 1 Scale Avenue, Building 18, Suite 117, Rutland, VT 05701-4460 | 2012-02-13 |
| 1083930697 | Bradley David Young | Counselor | 50 Kendall Ave, Rutland, VT 05701-3117 | 2010-04-08 |
| 1497085401 | Lauren Ann Lasante | Counselor | 198 N Main St Ste C-5, Rutland, VT 05701 | 2010-01-14 |
| 1396903688 | Gail Porter-beckley | Counselor | 116 West Street, Rutland, VT 05701-9408 | 2008-05-23 |
| 1134397748 | Deborah Lee Greenslit | Counselor | 32 Pommogussett Rd, Unit 8, Rutland, MA 01543-1461 | 2008-02-16 |
| 1356477210 | Colleen G. Tunney | Counselor | 60 Miles Road, Devereux, Rutland, MA 01543 | 2007-02-26 |
| 1841331071 | Margaret Coleman Soule | Counselor | 5 Court Street, Rutland, VT 05701 | 2007-02-09 |
| Find all providers in RUTLAND | ||||
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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.