STANLEY DAVID ROSENBERG (NPI# 1568530863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568530863 |
| Entity Type | Individual |
| Full Name | STANLEY DAVID ROSENBERG |
| Credential | PHD |
| Practice Address |
1 Medical Center Drive Lebanon NH 03756-0001 |
| Practice Telephone | 6036507232 |
| Practice Fax Number | 6036509478 |
| Mailing Telephone | 6036507232 |
| Mailing Fax Number | 6036509478 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 129 | NH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | MEDICAID | 6816 | 01 |
| NH | 30001147 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144337262 | Stanley Allen Rosenberg | Internal Medicine | 2525 Pasadena Avenue South, Suite U, South Pasadena, FL 33707-4559 | 2006-08-24 |
| 1417981184 | Stanley J Rosenberg | Internal Medicine | Beth Israel Deaconess Hospital, 330 Brookline Ave, Boston, MA 02215 | 2006-07-10 |
| 1306929757 | Stanley Allan Rosenberg | Pediatrics | 10371 Parkglenn Way, Suite 100, Parker, CO 80138-3871 | 2006-10-21 |
| 1982797999 | Stanley Rosenberg | Ophthalmology | 8940 N Kendall Drive, Ste 703e, Miami, FL 33176-2175 | 2006-10-02 |
| 1972527828 | Stanley E Rosenberg | Urology | 281 Witherspoon St, Suite 100, Princeton, NJ 08540-3210 | 2006-07-26 |
| Street Address |
1 MEDICAL CENTER DRIVE |
| City | LEBANON |
| State | NH |
| Zip Code | 03756-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987560 | Kimberly Ruth Haller | Nurse Practitioner | 1 Medical Center Drive, Lebanon, NH 03756 | 2020-06-25 |
| 1306409818 | Kyle Lance Holsted | Physician Assistant | 1 Medical Center Drive, Department of Surgery, Lebanon, NH 03756-0001 | 2019-04-19 |
| 1639643919 | Michael Patrick Gaffney | Physician Assistant | 1 Medical Center Drive, Dartmouth Hitchcock - Otolaryngology, Lebanon, NH 03756 | 2019-01-19 |
| 1780189134 | Hannah Louise Duane | Student in an Organized Health Care Education/Training Program | 1 Medical Center Drive, Dhmc-dept of Internal Medicine, Lebanon, NH 03756-1000 | 2018-03-28 |
| 1295239135 | Erica Katherine Gotow | Student in an Organized Health Care Education/Training Program | 1 Medical Center Drive, Dhmc Department of Psychiatry, Lebanon, NH 03756-0001 | 2018-03-23 |
| 1427597012 | Evan C Bick | Psychologist | 1 Medical Center Drive, 5d-psychiatry, Lebanon, NH 03756 | 2017-02-16 |
| 1447614391 | James Harvey Elder Iv | Student in an Organized Health Care Education/Training Program | 1 Medical Center Drive, Emergency Medicine Residency Office, Lebanon, NH 03766 | 2016-04-07 |
| 1669866596 | Elizabeth Schwartz | Psychiatry & Neurology | 1 Medical Center Drive, Psychiatry Department, Lebanon, NH 03756-1000 | 2015-03-28 |
| 1841618899 | Minda A Gowarty | Internal Medicine | 1 Medical Center Drive, Dartmouth Hitchcock - Internal Medicine, Lebanon, NH 03756 | 2014-04-06 |
| 1952747446 | Kerrilynn Carney Hennessey | Internal Medicine | 1 Medical Center Drive, Department of Cardiology, Lebanon, NH 03756 | 2013-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790277796 | Sindri Aron Viktorsson | Student in an Organized Health Care Education/Training Program | Dartmouth- Hitchcock Medical Center, One Medical Center Dr, Lebanon, NH 03756 | 2018-06-05 |
| 1376078501 | Robert G.p. Murray | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Pediatric Residency Program, Children's Hospital At Dartmouth-hitchcock, Dartmouth H, Lebanon, NH 03756 | 2017-04-25 |
| 1063946242 | Keira Kilmartin | Student in an Organized Health Care Education/Training Program | One Medical Centre Drive, Pediatric Residency Program, Lebanon, NH 03756 | 2017-04-14 |
| 1194120691 | Clearchoicemd | Clinic/Center | 422 Miracle Mile Rd, Lebanon, NH 03756 | 2014-10-27 |
| 1629380159 | Rattanaporn Mahatanan | Internal Medicine | One Meical Center Drive, Dhmc Infectious Disease Department, Lebanon, NH 03756 | 2010-07-13 |
| 1780803833 | Kenneth W Travis | Anesthesiology | Darmouth Hitchock Med Ct, One Medical Ctre Drive, Lebanon, NH 03756 | 2007-04-25 |
| 1295950657 | Jillian R Ozmore | Genetic Counselor, MS | Dartmouth Hitchcock, One Medical Center Drive, Lebanon, NH 03756 | 2007-04-13 |
| 1609961119 | Athos John Rassias | Anesthesiology | Critical Care Medicine 1 Medical Center Drive, Dhmc, Lebanon, NH 03756 | 2006-10-03 |
| 1679592067 | Martha J Allen | Physician Assistant | Dartmouth Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH 03756 | 2006-07-18 |
| 1194765768 | Joseph Livin Perras II | Internal Medicine | Dartmouth-hitchcock Clinic, 1 Medical Center Dr, Lebanon, NH 03756 | 2006-06-08 |
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| 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 |
|---|---|---|---|---|
| 1912520065 | Tracey King | Psychologist | 726 E Main St Ste F210, Lebanon, OH 45036-1900 | 2020-05-24 |
| 1164932083 | Kimberly Anne Lovelock | Psychologist | 964 Isabel Dr, Lebanon, PA 17042-7482 | 2017-10-05 |
| 1073731667 | Michael W Mills | Psychologist | Po Box 766, Lebanon, NH 03766-0766 | 2007-04-22 |
| 1518035005 | Karen Lee Gillock | Psychologist | 115 Etna Rd, Building 1, Suite 2, Lebanon, NH 03766-1429 | 2006-12-01 |
| 1255431037 | John Reynolds Fullerton | Psychologist | Va Medical Center (620), 1700 Lincoln Avenue, Lebanon, PA 17042-0000 | 2006-09-22 |
| 1003915786 | Peter J Garito | Psychologist | 94 Norway Ln, Lebanon, PA 17042-9098 | 2006-09-21 |
| 1306942693 | Evergreen Health Center, PC | Psychologist | 1859 S Jefferson Ave, Lebanon, MO 65536-4221 | 2006-09-15 |
| 1265466924 | Linda Julia Lee-dynes | Psychologist | 85 Mechanic St Ste 360, Lebanon, NH 03766-1500 | 2006-07-10 |
| 1194722181 | Roy A Smith Jr. | Psychologist | 200 N. 7th Street, Lebanon, PA 17046-5040 | 2005-07-05 |
| 1235647538 | Michael Jeffrey Itzkowitz | Psychologist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2018-01-21 |
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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.