DR. AUGUSTUS E. JORDAN (NPI# 1639102551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639102551 |
| Entity Type | Individual |
| Full Name | DR. AUGUSTUS E. JORDAN |
| Credential | PH.D. |
| Practice Address |
152 Maple St Suite 202 Middlebury VT 05753-1370 |
| Mailing Address |
57 S Street Ext Middlebury VT 05753-8982 |
| Practice Telephone | 8029891555 |
| Practice Fax Number | 8024432772 |
| Mailing Telephone | 8023888360 |
| Mailing Fax Number | 8024432772 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
048-0000843 | VT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1010775 | 05 | |
| VT | BLUE CROSS BLUE SHIELD VT | 68375 | 01 |
| Street Address |
152 MAPLE ST SUITE 202 |
| City | MIDDLEBURY |
| State | VT |
| Zip Code | 05753-1370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033580287 | Courtney Ann Bowers | Naturopath | 152 Maple St, #302, Middlebury, VT 05753-1370 | 2015-10-14 |
| 1730413436 | Andrew J. Daly | Dentist | 152 Maple St, Ste. 201, Middlebury, VT 05753 | 2009-09-28 |
| 1851582290 | John James Beattie | Counselor | 152 Maple St, Suite 202, Middlebury, VT 05753-1370 | 2007-08-08 |
| 1750422010 | James Garrett Daly | Dentist | 152 Maple St, Suite 201, Middlebury, VT 05753 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760997233 | Julia M. Pipiras | Massage Therapist | 99 Maple St., Marble Works, Middlebury, VT 05753 | 2017-12-06 |
| 1487017117 | Hope W Martin | Counselor | 135 South Pleasant St., Middlebury, VT 05753 | 2016-03-31 |
| 1487052593 | Ania Mortier | Nurse Practitioner | 102 A Court St, Middlebury, VT 05753 | 2014-12-06 |
| 1427471655 | Nancy Spears | Counselor | 7 Seymour St Ste 4, Middlebury, VT 05753 | 2014-01-23 |
| 1679862676 | Daly Dental | Dentist | 152 Maple Street, Suite 201, Middlebury, VT 05753 | 2011-03-31 |
| 1033432695 | James G Daly D.d.s. | Dentist | 152 Maple St., Ste. 201, Middlebury, VT 05753 | 2010-03-10 |
| 1497986855 | Maxine Elizabeth Fidler | Acupuncturist | 31 Court Street, Middlebury, VT 05753 | 2009-08-04 |
| 1629289426 | Gary Francis Margolis | Psychologist | 302 Centeno House Route 30, Middlebury, VT 05753 | 2007-05-24 |
| 1578697884 | Elise Marie Mcclintock | Nurse Practitioner | 5110 Middlebury College, Middlebury, VT 05753 | 2007-03-16 |
| 1982735890 | Adam Brightman | Social Worker | 1740 Delong Road, Cornwall, VT 05753 | 2007-03-09 |
| Find all providers in zip 05753 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891110508 | Douglas Smith | Psychologist | 180 Foote St, Middlebury, VT 05753-2018 | 2014-03-04 |
| 1235618661 | Michelle Kaczynski | Psychologist | 67 Catamount Park, Middlebury, VT 05753-1397 | 2018-08-07 |
| 1871615062 | Mary Louise Brevda | Psychologist | 228 Maple St, Middlebury, VT 05753-1606 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306461066 | Bhuttu Mathews | Psychologist | 110 Main St Ste 4a, Burlington, VT 05401-8451 | 2020-06-09 |
| 1013575372 | Roberta M. White | Psychologist | 72 Whetstone Rd, Brattleboro, VT 05301 | 2019-06-03 |
| 1508281064 | Jeffrey Steven Martin | Psychologist | 300 Palmer Ln, Charlotte, VT 05445-4410 | 2014-02-20 |
| 1508299322 | Heather Finley Phd Pllc | Psychologist | 231 Maple St Ste 1, Burlington, VT 05401-4562 | 2013-08-15 |
| 1487935516 | Andrea Lee Kelly | Psychologist | 444 South Union St., Suite 230, Burlington, VT 05401 | 2011-09-02 |
| 1508188731 | Regina S Murphy | Psychologist | 204 Mountainview Dr, Waterbury, VT 05676-9346 | 2010-02-15 |
| 1548353808 | Sally Louise Mattson | Psychologist | 72 Grove St, Brattleboro, VT 05301-6040 | 2006-10-01 |
| 1356434690 | Camille Irene Parker | Psychologist | 1462 Green Mountain Tpke, Chester, VT 05143-8874 | 2006-10-01 |
| 1710070115 | Cecily M. Monro | Psychologist | 287 County Rd, Windsor, VT 05089-1261 | 2006-09-30 |
| 1629169099 | Jeannette D Keenan | Psychologist | 231 Concord Ave Ste 1, St Johnsbury, VT 05819-1513 | 2006-09-28 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLEBURY |
| Zip Code | 05753 |
Please comment or provide details below to improve the information on DR. AUGUSTUS E. JORDAN.
| 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.