SANTOSH SANGARASIVAM (NPI# 1326160441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326160441 |
| Entity Type | Individual |
| Full Name | SANTOSH SANGARASIVAM |
| Credential | LCMHC |
| Practice Address |
205 Billings Farm Road Unit 1 Wilder VT 05088 |
| Mailing Address |
Po Box 823 Norwich VT 05055-0823 |
| Practice Telephone | 6036433882 |
| Practice Fax Number | 6036433882 |
| Mailing Telephone | 6036433882 |
| Mailing Fax Number | 6036433882 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 07SMS58211 | VT | Behavioral Health & Social Service Providers |
| Street Address |
205 BILLINGS FARM ROAD UNIT 1 |
| City | WILDER |
| State | VT |
| Zip Code | 05088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639798325 | Lila Ziva Rosenbloom | Counselor | 39 Fogg Farm Rd, Wilder, VT 05088 | 2020-04-13 |
| 1013543602 | Cornerstone Care of New England LLC | Adult Companion | 1509 Hartford Ave, Wilder, VT 05088 | 2020-03-16 |
| 1003247958 | Gregory Henderson | Counselor | 39 Fogg Farm Road, Wilder, VT 05088 | 2013-12-03 |
| 1750710240 | Daniel Paul Roden | Counselor | 41 Jamie Dr., Wilder, VT 05088 | 2013-11-05 |
| 1942644216 | Sharon L. Goedkoop, Licsw | Social Worker | 2458 Christian Street, Suite 214, Wilder, VT 05088 | 2013-04-17 |
| 1215294061 | High Horses Therapeutic Riding Program | Physical Therapist | 2727 Christian St., Wilder, VT 05088 | 2012-04-18 |
| 1699070755 | Anderson Chiropractic LLC | Chiropractor | 2577 Hartford Ave, Wilder, VT 05088 | 2011-01-21 |
| 1073715660 | Dr George J Schuetz | Dentist | 144 Palmer Court, Wilder, VT 05088 | 2007-06-05 |
| 1124157029 | Red Barn Physical Therapy Associates | Physical Therapist | 52 Olcott Drive, Wilder, VT 05088 | 2007-03-05 |
| 1811033434 | Richard Arleigh Schlein | Dentist | 18 Olcott Dr, Wilder, VT 05088 | 2007-01-30 |
| Find all providers in zip 05088 | ||||
| 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 |
|---|---|---|---|---|
| 1376749762 | Elizabeth Diane Moussas | Psychologist | 69 Sentry Dr, Wilder, KY 41076-1465 | 2007-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467061879 | Katrine Kirk | Psychologist | 334 Roxbury Mountain Road, Warren, VT 05674 | 2020-07-31 |
| 1578181681 | Rachel M Garnett | Psychologist | 47 Imperial Dr, South Burlington, VT 05403-7826 | 2020-07-07 |
| 1417571100 | Elizabeth D.c. Taylor | Psychologist | The Granary, 29 Union Street, Brandon, VT 05733-0573 | 2020-05-29 |
| 1225679814 | Eric N Petersen | Psychologist | 1233 Shelburne Rd Ste C4, South Burlington, VT 05403-7780 | 2019-10-04 |
| 1124676853 | Towanda Geary | Psychologist | 1 Lawson Ln Ste 200c, Burlington, VT 05401-8445 | 2019-08-27 |
| 1891348645 | Amy Curtis | Psychologist | 35 King St Ste 8, Burlington, VT 05401-4787 | 2019-07-22 |
| 1235605254 | Leila Menard Mcveigh | Psychologist | 50 Monkton Rd, Vergennes, VT 05491-1337 | 2018-10-17 |
| 1700371416 | Emily Betz | Psychologist | 100 Main St Unit 8, Burlington, VT 05401-8475 | 2018-06-25 |
| 1851885305 | Angele Paul, Licensed Psychologist - Ma, P.l.c. | Psychologist | 86 Saint Paul St Ste 202, Burlington, VT 05401-4958 | 2018-06-19 |
| 1639669013 | Wayne F Tyrrell | Psychologist | 82 Lakeview Rd, South Hero, VT 05486-4600 | 2018-05-11 |
| Find all providers with the same taxonomy | ||||
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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.