DEBORAH B GOLDBERG (NPI# 1720262249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720262249 |
| Entity Type | Individual |
| Full Name | DEBORAH B GOLDBERG |
| Credential | MED LICENSED PSYCHOL |
| Practice Address |
1194 Main Street Suite 107 St Johnsbury VT 05819 |
| Mailing Address |
193 Winter Street St Johnsbury VT 05819 |
| Practice Telephone | 8027483711 |
| Practice Fax Number | 8027483711 |
| Mailing Telephone | 8027483711 |
| Mailing Fax Number | 8027483711 |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2007-12-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 0470000391 | VT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0009308 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609399245 | Deborah Alexandra Goldberg | Occupational Therapist | 308 Churchill Rd, Teaneck, NJ 07666-3007 | 2017-07-25 |
| 1952616203 | Deborah Goldberg | Occupational Therapist | 444 Washington St Ste 401, Woburn, MA 01801-1072 | 2010-08-11 |
| 1730380031 | Deborah Baron Goldberg | Internal Medicine | Bellevue Hospital Center Division of Forensic Psychiatr, 462 First Ave, Rm 19w15, New York, NY 10016 | 2007-05-31 |
| 1326338849 | Deborah Goldberg | Internal Medicine | 10010 Kennerly Rd, 3 Southbridge, Saint Louis, MO 63128-2106 | 2011-04-18 |
| 1285883256 | Deborah Rae Goldberg | Genetic Counselor, MS | 1313 5th St Se, Minneapolis, MN 55414-4504 | 2008-09-15 |
| 1831276559 | Deborah Jill Goldberg | Speech-Language Pathologist | 4620 17th St, Sarasota, FL 34235-1843 | 2006-11-01 |
| Street Address |
1194 MAIN STREET SUITE 107 |
| City | ST JOHNSBURY |
| State | VT |
| Zip Code | 05819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710457353 | Amber L Carrasquillo | Pharmacist | 438 Railroad St Apt 301, Saint Johnsbury, VT 05819 | 2018-11-27 |
| 1700378734 | Laura Amy Nixon | Physician Assistant | 41 Sherman Drive, St. Johnsbury, VT 05819 | 2018-06-05 |
| 1447797873 | Kingdom Autism and Behavioral Health, LLC | Behavioral Analyst | 397 Railroad Street, Suite Number #4, St. Johnsbury, VT 05819 | 2017-01-24 |
| 1407211493 | Scott Rosemark | Pharmacist | 957 Memorial Drive, Saint Johnsbury, VT 05819 | 2015-12-18 |
| 1134541295 | Meghan Davis | Counselor | 231 Concord Ave Ste 2, St Johnsbury, VT 05819 | 2014-01-09 |
| 1639490279 | Carol Lynn Smith | Counselor | 445 Portland St, St. Johnsbury, VT 05819 | 2010-06-17 |
| 1548435696 | Philip Lightbear | Counselor | 108 Cherry Street Suite 1, St Johnsburg, VT 05819 | 2008-04-29 |
| 1740452416 | Kimberly Dena Lightbear | Counselor | 108 Cherry Street, St Johnsbury, VT 05819 | 2008-04-02 |
| 1154501880 | Mary Jane Egerton | Social Worker | 506 Tripp Lane, St Johnsburg, VT 05819 | 2007-11-09 |
| 1750574125 | Northern Counties Health Care Inc | Clinic/Center | 165 Sherman Drive, St Johnsbury, VT 05819 | 2007-08-20 |
| Find all providers in zip 05819 | ||||
| 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 |
|---|---|---|---|---|
| 1326140526 | Priscilla A. Hutchins | Psychologist | 347 Emerson Falls Rd, Suite 2, St Johnsbury, VT 05819-9179 | 2006-09-01 |
| 1962416198 | Donald J. Hunt | Psychologist | 1482 Goss Hollow Rd, St Johnsbury, VT 05819-9142 | 2006-07-27 |
| 1568508885 | Catherine Hinchey | Psychologist | 560 Railroad St, St Johnsbury, VT 05819 | 2007-01-30 |
| 1194877829 | Marek William Pyka | Psychologist | 560 Railroad St, St Johnsbury, VT 05819 | 2007-01-16 |
| 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 | ST JOHNSBURY |
| Zip Code | 05819 |
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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.