DR. TERI M BROOKS (NPI# 1467670950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467670950 |
| Entity Type | Individual |
| Full Name | DR. TERI M BROOKS |
| Credential | PH.D. |
| Practice Address |
36 Upper River Road Newfane VT 05345 |
| Mailing Address |
Po Box 178 Newfane VT 05345-0178 |
| Practice Telephone | 8023800525 |
| Mailing Telephone | 8023800525 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2015-03-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
796 | VT | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
796 | VT | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
796 | VT | Behavioral Health & Social Service Providers |
| Street Address |
36 UPPER RIVER ROAD |
| City | NEWFANE |
| State | VT |
| Zip Code | 05345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841566296 | Elizabeth A Bianchi | Social Worker | 708 Route 30, Newfane, VT 05345 | 2012-03-30 |
| 1023338936 | Kelly Ann Wicker | Counselor | 550 Rt. 30, Newfane, VT 05345 | 2010-06-03 |
| 1477634434 | Charles Dwight Decker | Dentist | 36 Park Place, Brattleboro, VT 05345 | 2006-10-18 |
| 1760570113 | James Carew | Social Worker | 23 West Street, C/o Moore Free Library, Newfane, VT 05345 | 2006-10-11 |
| 1952338097 | Thomas Hersh | Psychologist | 83 Radway Hill Rd., Newfane, VT 05345 | 2006-06-26 |
| 1851924948 | Julia Stifler | Counselor | 708 Route 30, Newfane, VT 05345 | 2020-02-17 |
| 1356904817 | Kara Dibble | Social Worker | 708 Route 30, Newfane, VT 05345 | 2019-04-19 |
| 1700901568 | Susan Bandler Wagner | Social Worker | 23 West Street, Newfane, VT 05345 | 2007-03-20 |
| 1013319474 | Stephen Agin | Durable Medical Equipment & Medical Supplies | 961 Rt 20, Newfane, VT 05345-0124 | 2014-09-17 |
| 1710063896 | Ingrid Scholz Longo | Social Worker | 36 Back St, Newfane, VT 05345-9523 | 2006-10-31 |
| Find all providers in zip 05345 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1093877300 | Susie Elizabeth Caron | Psychologist | 325 Swamp Rd, Fairfax, VT 05454-9777 | 2006-12-14 |
| 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 |
| 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.