DR. MASHA Y IVANOVA (NPI# 1700043759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700043759 |
| Entity Type | Individual |
| Full Name | DR. MASHA Y IVANOVA |
| Other Name | MARIA Y IVANOVA |
| Credential | PHD |
| Practice Address |
1 South Prospect Street Uhc St Josephs Wing 3rd Floor Burlington VT 05401 |
| Practice Telephone | 8026562796 |
| Mailing Telephone | 8026562796 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
048-0000914 | VT | Behavioral Health & Social Service Providers |
| Street Address |
1 SOUTH PROSPECT STREET UHC ST JOSEPHS WING 3RD FLOOR |
| City | BURLINGTON |
| State | VT |
| Zip Code | 05401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811959927 | Susan P. Shane | Family Medicine | 1 South Prospect Street, Fahc Family Medicine, Arnold 4, Burlington, VT 05401 | 2006-04-04 |
| 1417391251 | Michael A Hoffnung | Psychiatry & Neurology | 1 South Prospect Street, Arnold Level 3, Burlington, VT 05401 | 2013-04-23 |
| 1457613093 | Amy Dinitz | Internal Medicine | 1 South Prospect Street, Uhc Campus, Burlington, VT 05401-5505 | 2012-06-11 |
| 1649286451 | Andrea Elizabeth Green | Pediatrics | 1 South Prospect Street, Uhc Pediatrics, Burlington, VT 05401 | 2006-08-01 |
| 1508871898 | Daniel A Chidpungtam | Psychiatry & Neurology | 1 South Prospect Street, Uhc Campus 6th Floor Psychiatry, Burlington, VT 05401-5505 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626748 | John Henry Priester Jr. | Student in an Organized Health Care Education/Training Program | University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 | 2020-03-27 |
| 1730649054 | Parisa Heidari | Student in an Organized Health Care Education/Training Program | Uvmmc 111 Colchester Avenue, Burlington, VT 05401 | 2019-03-22 |
| 1689141988 | No Diet Dietitian, LLC | Dietitian, Registered | 163 Bayberry Circle #204, Burlington, VT 05401 | 2018-10-25 |
| 1073097267 | Katherine Dwyer | Physical Therapist | 128 Lakeside Ave, Burlington, Vt, 05401, Burlington, VT 05401 | 2018-09-24 |
| 1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
| 1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
| 1356845416 | Rachel Carlson | Student in an Organized Health Care Education/Training Program | Uvmmc, 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-22 |
| 1487152096 | Garnet Transport Medicine, LLC | Ambulance | 70 S Winooski Ave Ste 255, Burlington, VT 05401 | 2018-01-29 |
| 1689172660 | Valerie Goldberg | Dietitian, Registered | 163 Bayberry Circle Apt 204, Burlington, VT 05401 | 2018-01-25 |
| 1548774235 | Emily R Day | Physical Therapist | 160 Flynn Avenue, Burlington, VT 05401 | 2017-11-17 |
| Find all providers in zip 05401 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184735466 | David R Ritter | Psychologist | 14 S Williams St, Burlington, VT 05401-3400 | 2006-08-31 |
| 1740798453 | Pamela Swift | Psychologist | 1 S Prospect St, Burlington, VT 05401-3456 | 2018-01-16 |
| 1396767802 | Cynthia Leigh Lariviere | Psychologist | 1 S Prospect St, Fahc-psychiatry Services, Burlington, VT 05401-3456 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497931992 | Vermont Psychological Solutions, Plc | Psychologist | 1 Kennedy Dr Ste U8, South Burlington, VT 05403-7166 | 2008-01-14 |
| 1538290523 | Mark Carpenter Mumford | Psychologist | Counseling Service of Addison County,inc., 89 Main Street, Middlebury, VT 05753 | 2007-03-08 |
| 1255481529 | Allen Moulton | Psychologist | 234 Maple St, Stowe, VT 05672-4248 | 2007-01-11 |
| 1093877300 | Susie Elizabeth Caron | Psychologist | 325 Swamp Rd, Fairfax, VT 05454-9777 | 2006-12-14 |
| 1134132053 | Robert Charles Hemmer | Psychologist | 5271 Main St, Manchester Center, VT 05255-9776 | 2006-08-14 |
| 1114983939 | Clifford Miles Karmiohl | Psychologist | 22 Patchen Rd, South Burlington, VT 05403-5704 | 2006-04-21 |
| 1669990529 | Charles R. Myers | Psychologist | 30 Airport Rd, South Burlington, VT 05403-6432 | 2017-08-31 |
| 1497172704 | Amy Paysnick | Psychologist | 12 Pearl St, Essex Junction, VT 05452-3604 | 2014-03-25 |
| 1295056356 | K and L Associates | Psychologist | 160 Benmont Ave, Bennington, VT 05201-1873 | 2010-06-11 |
| 1164544516 | Laura Anne Basili | Psychologist | 135 S Pleasant St, Middlebury, VT 05753-1479 | 2007-04-05 |
| Find all providers with the same taxonomy | ||||
| City | BURLINGTON |
| Zip Code | 05401 |
Please comment or provide details below to improve the information on DR. MASHA Y IVANOVA.
| 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.