MS. SUSAN POLLY STEVENS (NPI# 1609932524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609932524 |
| Entity Type | Individual |
| Full Name | MS. SUSAN POLLY STEVENS |
| Credential | PSY.D. |
| Practice Address |
116d Ncptsd Vam Roc 215 North Main St White River Junction VT 05009-0001 |
| Mailing Address |
79 Kerwin Hill Rd Norwich VT 05055-9475 |
| Practice Telephone | 8022959363 |
| Mailing Telephone | 8022965132 |
| Enumeration Date | 2006-12-28 |
| 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 | 1109 | NH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417212648 | Susan Elise Stevens | Nurse Practitioner | 3100 Maccorkle Ave Se Ste B1, Charleston, WV 25304-1222 | 2012-07-13 |
| 1851541775 | Susan Keeton Stevens | Specialist | 394 Guymard Tpke, Middletown, NY 10940-7109 | 2008-09-28 |
| 1467673038 | Susan Welch Stevens | Specialist/Technologist | University of North Carolina At Greensboro, Department of Exercise and Sports Science, 237a Hhp, Greensboro, NC 27412 | 2007-05-01 |
| 1326188657 | Susan Stevens | Marriage & Family Therapist | 212 N 1st Ave Ste G100, Sandpoint, ID 83864-1400 | 2007-02-07 |
| 1811909815 | Susan J Stevens | Specialist | 4308 Montgomery Ave, Bethesda, MD 20814-4402 | 2006-08-12 |
| 1477562593 | Susan M. Stevens | Family Medicine | 180 Kennedy Memorial Drive, Suite 303, Waterville, ME 04901 | 2006-08-07 |
| 1487678413 | Susan Cora Stevens | Social Worker | 170 W 76th St, #501, New York, NY 10023-8412 | 2006-07-26 |
| 1831746262 | Susan Bethany Stevens | Physical Therapist | 601 John St, Kalamazoo, MI 49007-5341 | 2019-08-21 |
| 1427512185 | Susan Stevens | Speech-Language Pathologist | 2225 Old Emmorton Rd Ste 210, Bel Air, MD 21015-6123 | 2019-01-28 |
| 1902307689 | Susan Amanda Stevens | Counselor | 8701 Six Forks Rd, Raleigh, NC 27615-2968 | 2018-02-27 |
| Street Address |
116D NCPTSD VAM ROC 215 NORTH MAIN ST |
| City | WHITE RIVER JUNCTION |
| State | VT |
| Zip Code | 05009-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700222114 | Alison Romegialli | Internal Medicine | White Mountain Firm 215 North Main Street, White River Junction, VT 05009 | 2013-05-13 |
| 1689830929 | Andrea L Murphy | Optometrist | 215 North Main Street, Desk 100 (112), Department of Veteran Affairs, White River Junction, VT 05009 | 2008-08-06 |
| 1114115821 | Justin Michael Cole | Optometrist | White River Junction Va Medical Center Desk 100-112, 215 N. Main Street, White River Junction, VT 05009 | 2007-10-09 |
| 1467673996 | Stephen Kelliher | Psychologist | Va Medical Center 215 N Main St, White River Junction, VT 05009 | 2007-05-01 |
| 1396845152 | Robert Thomas Sennett | Respiratory Therapist, Registered | 215 N. Main St, White River Jct., VT 05009 | 2006-09-22 |
| 1972606200 | Jill Alger | Social Worker | 215 North Main St, Va Medical Center, White River Junction, VT 05009 | 2006-09-05 |
| 1841303351 | Vesta Drayton | Recreation Therapist | 215 Main St., Mail Stop 117, White River Junction, NH 05009 | 2006-08-17 |
| 1518974427 | Steven Woloshin | Internal Medicine | 215 N. Main Street, Va Outcomes Group (111b), White River Jct, VT 05009 | 2006-08-02 |
| 1750301651 | Louise Davies | Otolaryngology | Va Outcomes Group - 111b, 215 North Main Street, White River Junction, VT 05009 | 2006-07-20 |
| 1245756394 | Amanda Kutz | Psychologist | 215 Main St, White River Junction, VT 05009 | 2017-08-21 |
| Find all providers in zip 05009 | ||||
| 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 |
|---|---|---|---|---|
| 1467673996 | Stephen Kelliher | Psychologist | Va Medical Center 215 N Main St, White River Junction, VT 05009 | 2007-05-01 |
| 1518069616 | Rosalind Larrabee Jones | Psychologist | Veterans Affairs Hospital Psychiatry Dept, White River Junction, VT 05009-0001 | 2006-09-01 |
| 1598145377 | Sarah Riley Bagby | Psychologist | 215 N Main St, White River Junction, VT 05009-0001 | 2015-06-05 |
| 1386963072 | Anna Lisa Harmon | Psychologist | 215 N Main St, White River Junction, VT 05009-0001 | 2010-05-20 |
| 1700053071 | Adam Maynard Smith | Psychologist | White River Junction Vamc, 215 North Main St, White River Junction, VT 05009-0001 | 2008-05-14 |
| 1699980581 | Susan Mckenzie | Psychologist | 72 S Main St, Suite 260, White River Junction, VT 05001-7161 | 2007-05-14 |
| 1972623874 | Nori Bokum, M.a., Ltd. | Psychologist | 1011 N Main St, Suite 30, White River Junction, VT 05001-6200 | 2007-04-02 |
| 1972654978 | Nori H Bokum | Psychologist | 1011 N Main St, Suite 30, White River Junction, VT 05001-6200 | 2007-01-16 |
| 1922103746 | Jessica Hamblen | Psychologist | 215 N Main St, Va Medical Center, White River Junction, VT 05001-3833 | 2006-09-14 |
| 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 | ||||
| City | WHITE RIVER JUNCTION |
| Zip Code | 05009 |
Please comment or provide details below to improve the information on MS. SUSAN POLLY STEVENS.
| 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.