DEER OAKS NEW ENGLAND, LLC (NPI# 1275798076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275798076 |
Entity Type | Organization |
Organization Name | DEER OAKS NEW ENGLAND, LLC |
Practice Address |
70 S Winooski Ave Suite 288 Burlington VT 05401-3898 |
Mailing Address |
7272 Wurzbach Rd Suite 601 San Antonio TX 78240-4801 |
Practice Telephone | 8026519700 |
Practice Fax Number | 2105939863 |
Mailing Telephone | 2106153472 |
Mailing Fax Number | 2105939863 |
Enumeration Date | 2008-07-22 |
Last Update Date | 2009-02-05 |
Authorized Official Name | PAUL ALAN BOSKIND (CEO) |
Authorized Official Telephone | 2106153472 |
Authorized Official Credential | PH.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
Entity Type | Entity Name | Entity Address |
---|---|---|
Vermont Business Registrations | DEER OAKS NEW ENGLAND, LLC | 70 S Winooski Ave, Burlington, VT 05401 |
Street Address |
70 S WINOOSKI AVE SUITE 288 |
City | BURLINGTON |
State | VT |
Zip Code | 05401-3898 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689684029 | Kenneth C Thunberg | Psychologist | 70 S Winooski Ave, Suite 288, Burlington, VT 05401-3898 | 2006-08-08 |
1528565512 | Bret Hermansky | Dietitian, Registered | 70 S Winooski Ave, Burlington, VT 05401-3898 | 2018-04-06 |
1952806630 | Karen Newman | Dietitian, Registered | 70 S Winooski Ave, Burlington, VT 05401-3898 | 2018-03-26 |
1619412095 | Kahm Clinic | Nutritionist | 70 S Winooski Ave, Burlington, VT 05401-3898 | 2016-12-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821626748 | John Henry Priester Jr. | Student in an Organized Health Care Education/Training Program | University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 | 2020-03-27 |
1730649054 | Parisa Heidari | Student in an Organized Health Care Education/Training Program | Uvmmc 111 Colchester Avenue, Burlington, VT 05401 | 2019-03-22 |
1689141988 | No Diet Dietitian, LLC | Dietitian, Registered | 163 Bayberry Circle #204, Burlington, VT 05401 | 2018-10-25 |
1073097267 | Katherine Dwyer | Physical Therapist | 128 Lakeside Ave, Burlington, Vt, 05401, Burlington, VT 05401 | 2018-09-24 |
1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
1356845416 | Rachel Carlson | Student in an Organized Health Care Education/Training Program | Uvmmc, 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-22 |
1487152096 | Garnet Transport Medicine, LLC | Ambulance | 70 S Winooski Ave Ste 255, Burlington, VT 05401 | 2018-01-29 |
1689172660 | Valerie Goldberg | Dietitian, Registered | 163 Bayberry Circle Apt 204, Burlington, VT 05401 | 2018-01-25 |
1548774235 | Emily R Day | Physical Therapist | 160 Flynn Avenue, Burlington, VT 05401 | 2017-11-17 |
Find all providers in zip 05401 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871119412 | Krista Reincke, Psy.d., LLC | Psychologist | 86 Saint Paul St Ste 307, Burlington, VT 05401-4958 | 2020-06-19 |
1346706322 | Adoria Senning | Psychologist | 1 Main St Ste 308, Burlington, VT 05401-8480 | 2019-02-14 |
1104215243 | Alexandra Mizrahi | Psychologist | 148 College St Ste 202c, Burlington, VT 05401-8476 | 2015-01-13 |
1437394129 | Neil R Metzner | Psychologist | 851 Pine Street, Burlington, VT 05401-3898 | 2008-12-09 |
1710183801 | Ene Piirak | Psychologist | 196 Battery St, Burlington, VT 05401-5287 | 2007-06-25 |
1407972334 | Mary Ellen Atkins | Psychologist | 92 Adams Street, Burlington, VT 05401 | 2007-03-22 |
1326179078 | Stephanie Joy Katzman | Psychologist | 101 Cambridge St Ste 230, Burlington, MA 01803-3767 | 2007-03-07 |
1902935372 | William M. Butler | Psychologist | 125 College St, Burlington, VT 05401-8444 | 2007-03-03 |
1952442907 | Valerie Ruth Padgett | Psychologist | 2971 Crouse Ln Ste D, Burlington, NC 27215-8446 | 2007-02-12 |
1821153594 | Tim Caufield, Phd LLC | Psychologist | 484 N Pine St, Burlington, WI 53105-1417 | 2006-12-23 |
Find all providers in BURLINGTON |
City | BURLINGTON |
Zip Code | 05401 |
Please comment or provide details below to improve the information on DEER OAKS NEW ENGLAND, LLC.
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.