ALICE ANN CLARK (NPI# 1598813073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598813073 |
| Entity Type | Individual |
| Full Name | ALICE ANN CLARK |
| Credential | PHD |
| Practice Address |
55 S Main St Waterbury VT 05676-1556 |
| Mailing Address |
Po Box 458 Stowe VT 05672-0458 |
| Practice Telephone | 8025850297 |
| Mailing Telephone | 8025850297 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2010-12-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
048.0057921 | VT | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
7094 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS | W06Z86 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821374372 | Alice Clark | Lactation Consultant, Non-RN | 1776 Fair Ave, Simi Valley, CA 93063-3228 | 2011-10-28 |
| 1063589299 | Alice Clark | Respite Care | 10720 E. Marigold Lane, Florence, AZ 85232 | 2006-11-30 |
| 1285641670 | Alice L Clark | Social Worker | 1114 W Pioneer Pkwy, Arlington, TX 76013-6367 | 2006-08-01 |
| 1033501382 | Alice Halsey Clark | Registered Nurse | 10362 Sw Mcdonald, Tigard, OR 97224 | 2015-02-24 |
| 1831455708 | Alice Clark | Licensed Practical Nurse | 4 Jefferson Plz, Poughkeepsie, NY 12601-4035 | 2012-04-05 |
| 1760495329 | Alice M Clark | Counselor | 5377 Manhattan Cir, Suite 200, Boulder, CO 80303-4333 | 2006-08-14 |
| Street Address |
55 S MAIN ST |
| City | WATERBURY |
| State | VT |
| Zip Code | 05676-1556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649218439 | Kamala Jean Kelton | Counselor | 55 S Main St, Box 4, Waterbury, VT 05676-1556 | 2006-06-03 |
| 1114970837 | Carol L Buck-rolland | Nurse Practitioner | 55 S Main St, Waterbury, VT 05676-1556 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780282319 | Elia Vecchione | Psychologist | 167 Elias Way, Duxbury, VT 05676 | 2020-10-15 |
| 1275733354 | Waterbury Family Dentistry, Plc | Dentist | 77 S. Main St., Suite 3, Waterbury, VT 05676 | 2007-07-18 |
| 1437234218 | Thomas A Simpatico | Psychiatry & Neurology | South Main Street, Waterbury, VT 05676 | 2006-10-27 |
| 1952357329 | Shaws Supermarkets Inc | Pharmacy | 820 Waterbury Stowe Rd, Waterbury, VT 05676 | 2006-05-26 |
| 1124093646 | Wendy Dallamura | Nurse Practitioner | 331 Morse Rd, Waterbury, VT 05676 | 2006-02-19 |
| 1144355025 | Gillian Lee Skovron | Social Worker | 89 South Main Street, Waterbury, VT 05676 | 2007-02-22 |
| 1457573545 | The Squier House, Inc. | Custodial Care Facility | 26 Union Street, Waterbury, VT 05676-0000 | 2007-05-02 |
| 1497807069 | Vincents Rexall Drugs Inc | Pharmacy | 80 South Main St, Waterbury, VT 05676-0059 | 2007-01-17 |
| 1942629860 | Maple Hill Residential Care Home | Nursing Facility/Intermediate Care Facility | 26 Union St, Waterbury, VT 05676-1303 | 2014-04-08 |
| 1497173470 | David W Anderson | Nursing Facility/Intermediate Care Facility | 26 Union St, Waterbury, VT 05676-1303 | 2014-04-07 |
| Find all providers in zip 05676 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346687324 | Sandra K Howell Pllc | Psychologist | 93 South Main St, Suite #2, Waterbury, VT 05676-1539 | 2013-05-30 |
| 1194039255 | Aryeh Herman | Psychologist | 1669 Thomaston Ave, Waterbury, CT 06704-1026 | 2010-08-01 |
| 1548206964 | Randy Bruce Carrin | Psychologist | 60 Westwood Ave, Suite 310, Waterbury, CT 06708-2460 | 2006-06-22 |
| 1063492585 | Christopher C. Leveille | Psychologist | 64 Robbins St, Crisis Center, Waterbury, CT 06708-2613 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225635303 | Christopher Aaron Randolph | Psychologist | 3827 Route 100, Pittsfield, VT 05762 | 2020-10-02 |
| 1871119412 | Krista Reincke, Psy.d., LLC | Psychologist | 86 Saint Paul St Ste 307, Burlington, VT 05401-4958 | 2020-06-19 |
| 1629699848 | Danielle Leriche-forkey | Psychologist | 1815 Vt Rte 15, Wolcott, VT 05680-3008 | 2020-04-28 |
| 1255971917 | Katherine Alice Schlageter | Psychologist | 5429 Main Street, Office C-2, Manchester Center, VT 05255 | 2020-01-10 |
| 1346706322 | Adoria Senning | Psychologist | 1 Main St Ste 308, Burlington, VT 05401-8480 | 2019-02-14 |
| 1932622461 | Jacob Robert Rusczek | Psychologist | 301 River St Ste 204, Montpelier, VT 05602-4303 | 2017-07-17 |
| 1326592221 | Riggs Geriatric Psychology Pllc | Psychologist | 54 Main St Ste Ll2, Windsor, VT 05089-1321 | 2016-08-09 |
| 1699124388 | Alicia R Hanifin | Psychologist | 73 Main St Rm 19, Montpelier, VT 05602-2944 | 2016-06-03 |
| 1104215243 | Alexandra Mizrahi | Psychologist | 148 College St Ste 202c, Burlington, VT 05401-8476 | 2015-01-13 |
| 1952799694 | Lisa M. Stephen Ph.d., PC | Psychologist | 89 Rye Cir Ste 1, South Burlington, VT 05403-7632 | 2015-01-05 |
| 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.