DR. KENNETH STEVEN MOORE (NPI# 1710358445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710358445 |
| Entity Type | Individual |
| Full Name | DR. KENNETH STEVEN MOORE |
| Credential | MHP |
| Practice Address |
100 Ledgehill Rd Bennington VT 05201-2273 |
| Practice Telephone | 8024425491 |
| Mailing Telephone | 8024425491 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-12-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TF0000X |
Psychologist Specialization: Family |
0970113490 | VT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | BCBS | 0970113490 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134490766 | Kenneth Moore | Skilled Nursing Facility | 751 Orange Ave, Saint Cloud, FL 34769-3063 | 2012-01-12 |
| 1376722348 | Kenneth Jerald Moore | Social Worker | 6906 S Utica Pl, Tulsa, OK 74136-5158 | 2007-10-26 |
| 1891899258 | Kenneth Lawrence Moore | Psychiatry & Neurology | 12 Tartan Ridge Rd, Burr Ridge, IL 60527-8904 | 2006-09-07 |
| 1669409967 | Kenneth Earl Moore | Specialist/Technologist | 901 Lincoln Rd, Idabel, OK 74745-7802 | 2006-06-26 |
| 1326096470 | Kenneth Edward Moore | Physical Medicine & Rehabilitation | Mcguire Vamc, 1201 Broad Rock Rd, Richmond, VA 23249 | 2006-05-04 |
| 1013995323 | Kenneth Levi Moore IIi | Nurse Practitioner | 5981 Far Hills Ave, Dayton, OH 45429-2211 | 2006-01-06 |
| 1245889021 | Kenneth Moore | Dentist | 611 S George Nigh Expy, Mcalester, OK 74501-7277 | 2019-09-05 |
| 1144796103 | Kenneth Moore | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-10-17 |
| 1568963627 | Kenneth Sheppard Moore | Military Health Care Provider | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2018-02-23 |
| 1013304054 | Kenneth Adam Moore | Student in an Organized Health Care Education/Training Program | 910 Madison Ave, Suite 1031, Memphis, TN 38103-3403 | 2015-04-16 |
| Street Address |
100 LEDGEHILL RD |
| City | BENNINGTON |
| State | VT |
| Zip Code | 05201-2273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114946035 | Karin F Mack | Psychiatry & Neurology | 100 Ledgehill Rd, Bennington, VT 05201-2273 | 2006-07-19 |
| 1568004075 | Sally Leonard | Counselor | 100 Ledgehill Rd, Bennington, VT 05201-2273 | 2019-10-16 |
| 1215579800 | Jenifer Haskins | Counselor | 100 Ledgehill Rd, Bennington, VT 05201-2273 | 2019-10-15 |
| 1659913259 | Katherine Hull | Social Worker | 100 Ledgehill Rd, Bennington, VT 05201-2273 | 2019-10-15 |
| 1548811136 | United Counseling Service of Bennington County, Inc. | Behavioral Analyst | 100 Ledgehill Rd, Bennington, VT 05201-5200 | 2019-09-25 |
| 1679124382 | Monica Bolio | Counselor | 100 Ledgehill Rd, Bennington, VT 05201-2273 | 2019-09-24 |
| 1972156271 | Elizabeth Quincy | Counselor | 100 Ledgehill Rd, Bennington, VT 05201-2273 | 2019-07-17 |
| 1538723358 | Rachel Darby | Clinical Nurse Specialist | 100 Ledgehill Rd, Bennington, VT 05201-5200 | 2019-04-26 |
| 1346706074 | Matthew Reed Macaulay | Social Worker | 100 Ledgehill Rd, Bennington, VT 05201-5200 | 2019-02-19 |
| 1629546015 | Hilary Lesniak | Counselor | 100 Ledgehill Rd, Bennington, VT 05201-5200 | 2018-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154720951 | Justin Carl Wilkinson | Specialist/Technologist | 320 Elm St, Bennington, VT 05201 | 2014-08-18 |
| 1134533235 | Patrick Deedy | Specialist/Technologist | 5 Appletree Ln, Bennington, VT 05201 | 2014-06-17 |
| 1083974299 | Khola Qamar | Internal Medicine | 140 Hospital Dr Ste 307, Bennington, VT 05201 | 2012-05-22 |
| 1295039808 | Bernadette R. Potratz | Massage Therapist | 160 Benmont Ave., Suite 23, Bennington, VT 05201 | 2010-12-23 |
| 1780870642 | Aaron York | Psychiatry & Neurology | 186 North Street, Bennington Va Clinic, Bennington, VT 05201 | 2007-09-24 |
| 1053434100 | Sunrise Family Resource Center | Social Worker | 244 Union Street, Bennington, VT 05201 | 2007-04-06 |
| 1316022817 | New England Consulting Inc | Chiropractor | 125 Elm Street, Bennington, VT 05201 | 2006-10-25 |
| 1306926704 | Glen Carlisle Mackenzie | Obstetrics & Gynecology | 160 Benmont Avenue, Suite 22, Bennington, VT 05201 | 2006-10-17 |
| 1982796496 | Maureen Matthews Mcclintock | Social Worker | 655 Main St., Bennington, VT 05201 | 2006-09-29 |
| 1447270525 | Robert J Miller | Dentist | 129 Elm Street, Bennington, VT 05201 | 2006-07-20 |
| Find all providers in zip 05201 | ||||
| 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 |
|---|---|---|---|---|
| 1629280276 | Bennington College Psychological Services | Psychologist | 1 College Drive, Bennington, VT 05201-0006 | 2007-05-04 |
| 1568586113 | Steven Anthony Sola | Psychologist | 1167 S Stream Rd, Bennington, VT 05201-8722 | 2007-03-19 |
| 1275578155 | Ellen Catherine Collins-reed | Psychologist | 901e Main St, Bennington, VT 05201-2670 | 2006-06-17 |
| 1700851722 | David Mellinger | Psychologist | 185 North St, Bennington, VT 05201-1813 | 2006-02-22 |
| 1407840648 | William Alfred Goodman | Psychologist | 160 Benmont Ave, Suite 25, Bennington, VT 05201-1873 | 2005-09-02 |
| 1396026126 | Helping Hands | Psychologist | 901 Main St, Suite 3, Bennington, VT 05201-2670 | 2011-09-07 |
| 1184911497 | Gaia Deering Ma, LLC | Psychologist | 504a Main St, Suite 5, Bennington, VT 05201-2111 | 2011-07-07 |
| 1407185788 | Kristen Munson | Psychologist | 160 Benmont Ave, Suite 20, Bennington, VT 05201-1873 | 2009-12-15 |
| 1649421975 | Aaron Ramirez | Psychologist | 100 Ledgehill Rd, Bennington, VT 05201-2273 | 2008-10-06 |
| 1760631774 | Diana Michalczuk | Psychologist | 357 Shields Dr, Bennington, VT 05201-9810 | 2008-09-15 |
| Find all providers in BENNINGTON | ||||
| City | BENNINGTON |
| Zip Code | 05201 |
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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.