DR. JULIE POULIN (NPI# 1699904516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699904516 |
| Entity Type | Individual |
| Full Name | DR. JULIE POULIN |
| Credential | M.D. |
| Practice Address |
160 Allen St Rutland VT 05701-4560 |
| Practice Telephone | 8027757111 |
| Practice Fax Number | 8027476207 |
| Mailing Telephone | 8027757111 |
| Mailing Fax Number | 8027476207 |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2019-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
042.0012638 | VT | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
042-0012638 | VT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1022095 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Commons St, Rutland, VT 057014652 | 8027471857 | 8027470129 |
| Howe Center, 1 Scale Ave, Building 10, Rutland, VT 05701 | 8027768500 |
| Street Address |
160 ALLEN ST |
| City | RUTLAND |
| State | VT |
| Zip Code | 05701-4560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821083650 | Melbourne Duncan Boynton | Specialist | 160 Allen St, Rutland, VT 05701-4560 | 2005-09-19 |
| 1992305395 | Katie Parker | Registered Nurse | 160 Allen St, Rutland, VT 05701-4560 | 2020-10-27 |
| 1194334847 | Michelle Hoffman | Counselor | 160 Allen St, Rutland, VT 05701-4560 | 2020-07-29 |
| 1164047981 | Catherine Yakunovich | Social Worker | 160 Allen St, Rutland, VT 05701-4560 | 2020-06-09 |
| 1518512193 | Michele Denise Pilz | Counselor | 160 Allen St, Rutland, VT 05701-4560 | 2019-08-09 |
| 1346703360 | Danielle M Robillard | Nurse Practitioner | 160 Allen St, Rutland, VT 05701-4560 | 2019-04-08 |
| 1750895827 | Kathleen O'hara | Speech-Language Pathologist | 160 Allen St, Rutland, VT 05701-4560 | 2017-11-27 |
| 1568982353 | Jeffrey Spencer | Physician Assistant | 160 Allen St, Rutland, VT 05701 | 2017-06-22 |
| 1518492560 | Emily Feinberg | Physician Assistant | 160 Allen St, Rutland, VT 05701-4560 | 2017-04-27 |
| 1972038305 | Ella Obrosky | Nurse Anesthetist, Certified Registered | 160 Allen St, Rutland, VT 05701-4560 | 2017-04-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639721186 | All Dimensions Primary Care Pllc | Physician Assistant | 92 Allen Street, Rutland, VT 05701 | 2019-07-15 |
| 1962809053 | Laura Kalinen Laprise | Nurse Practitioner | Rutland Community Health Center, 215 Stratton Road, Rutland, VT 05701 | 2014-12-04 |
| 1962818781 | Andrea Louise Welch | Pharmacist | 1 Rutland Shopping Plaza, Rutland, VT 05701 | 2014-07-02 |
| 1396158903 | Gwendolyn Koenig | Counselor | 78 South Main St., Rutland, VT 05701 | 2014-06-11 |
| 1194088195 | Marcie Bouchard | Early Intervention Provider Agency | 24a East Street, Rutland, VT 05701 | 2012-06-25 |
| 1790047009 | Pamela Lenoci | Massage Therapist | 196 Joshua Place, Rutland, VT 05701 | 2012-06-12 |
| 1528339959 | Deborah E. Boston | Social Worker | 128 Merchants Row Ste 510, Rutland, VT 05701 | 2012-01-17 |
| 1235431834 | Alicia Marie Riesterer | Occupational Therapy Assistant | 46 Nichols St., Rutland Healthcare and Rehabilitation Center, Rutland, VT 05701 | 2010-12-02 |
| 1497085401 | Lauren Ann Lasante | Counselor | 198 N Main St Ste C-5, Rutland, VT 05701 | 2010-01-14 |
| 1568692515 | Steven C. Duboff, Dmd, PC | Dentist | 198 North Main St, Rutland, VT 05701 | 2009-07-23 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487684593 | Lorri Carmel Golin | Psychiatry & Neurology | 79 Center St, Suite 2, Rutland, VT 05701-4061 | 2006-07-04 |
| 1669448981 | Jennifer Mary Fauntleroy | Psychiatry & Neurology | 11 Court Sq, Rutland, VT 05701-4030 | 2006-02-27 |
| 1275920845 | Saeed Ahmed | Psychiatry & Neurology | 160 Allen St, Rutland, VT 05701-4560 | 2015-04-22 |
| 1275843922 | Mountain View Psychiatry, PC | Psychiatry & Neurology | 79 Center St, Suite 2, Rutland, VT 05701-4061 | 2010-10-15 |
| 1609050756 | Adam J Pruett | Psychiatry & Neurology | 160 Allen St, Rutland, VT 05701 | 2007-12-26 |
| 1174731202 | Shana Ariel Berger | Psychiatry & Neurology | 215 Stratton Rd, Rutland, VT 05701-4621 | 2007-05-21 |
| 1215007067 | Alban J Coghlan | Psychiatry & Neurology | 90 Mahoney Ave, Rutland, VT 05701 | 2006-11-09 |
| 1922183912 | David M Mckay | Psychiatry & Neurology | 7 Court Sq, Rutland, VT 05701-4030 | 2006-10-26 |
| 1376624080 | Evelyn Susan Gerretson | Psychiatry & Neurology | 215 Stratton Rd, Rutland, VT 05701-4621 | 2006-10-18 |
| 1669498853 | Jennifer Fauntleroy, M.d., P.C. | Psychiatry & Neurology | 11 Court Sq, Rutland, VT 05701-4030 | 2006-07-14 |
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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.