LISA L NICHOLSON (NPI# 1114045671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114045671 |
| Entity Type | Individual |
| Full Name | LISA L NICHOLSON |
| Credential | LICSW |
| Practice Address |
29 Elm St Brattleboro VT 05301-6511 |
| Mailing Address |
1 Hospital Ct Ste 410 Bellows Falls VT 05101-1489 |
| Practice Telephone | 8022547511 |
| Practice Fax Number | 8022547506 |
| Mailing Telephone | 8024633294 |
| Mailing Fax Number | 8024631206 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 089-0000699 | VT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | OVN2757 | 05 | |
| VT | CIGNA | 2158213 | 01 |
| VT | BLUE CROSS | 49345 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689820060 | Lisa Ann Nicholson | Occupational Therapist | 8992 Hemlock Road, Avoca, NY 14809 | 2008-08-17 |
| 1649314667 | Lisa Ann Nicholson | Pharmacy Technician | 13608 E 24th Ave, Spokane Valley, WA 99216-0441 | 2007-02-16 |
| 1548344161 | Lisa Ilene Nicholson | Acupuncturist | 2310 6th Ave, San Diego, CA 92101-1643 | 2006-10-24 |
| 1578004834 | Lisa Nicholson | Family Medicine | 3883 Airway Dr Ste 202, Santa Rosa, CA 95403-1671 | 2017-03-19 |
| 1013208917 | Lisa Nicholson | Counselor | 1984 Obispo Ave, Ste 1a, Signal Hill, CA 90755-1234 | 2011-04-26 |
| 1457655185 | Lisa M Nicholson | Case Manager/Care Coordinator | 212 Carmen Ln, Suite 201, Santa Maria, CA 93458-7769 | 2011-01-10 |
| 1689840399 | Lisa M Nicholson | Obstetrics & Gynecology | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2008-05-02 |
| 1295934479 | Lisa Nicholson | Nurse Practitioner | 200 Medical Plaza Suite 265, Los Angeles, CA 90095 | 2007-07-17 |
| 1467561373 | Lisa Nicholson | Counselor | 861 Corporate Dr, Suite 101, Lexington, KY 40503-5432 | 2006-08-30 |
| Street Address |
29 ELM ST |
| City | BRATTLEBORO |
| State | VT |
| Zip Code | 05301-6511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548536741 | Madeline Mos | Registered Nurse | 29 Elm St, Brattleboro, VT 05301-6511 | 2012-04-02 |
| 1063698306 | Gail M Shaw | Registered Nurse | 29 Elm St, Brattleboro, VT 05301-6511 | 2008-01-17 |
| 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 |
| 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 |
| 1427126606 | Teresa Boni | Psychologist | 51 Fairview Street, Brattleboro, VT 05301 | 2006-12-04 |
| Find all providers in BRATTLEBORO | ||||
| City | BRATTLEBORO |
| Zip Code | 05301 |
Please comment or provide details below to improve the information on LISA L NICHOLSON.
| 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.