ANDREW LEE-WAH KOO (NPI# 1730281668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730281668 |
| Entity Type | Individual |
| Full Name | ANDREW LEE-WAH KOO |
| Credential | MD |
| Practice Address |
82 E View Ln Ste 3 Family Psychiatry Associates Berlin VT 05602-9516 |
| Mailing Address |
Po Box 547 Central Vermont Medical Center - Finance Dept Barre VT 05641-0547 |
| Practice Telephone | 8022251266 |
| Practice Fax Number | 8024793548 |
| Mailing Telephone | 8022251266 |
| Mailing Fax Number | 8024793548 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2014-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
042-0011961 | VT | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
042-0011961 | VT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1017794 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174580674 | Andrew Koo | Physician Assistant | 355 8th Ave, #16d, New York, NY 10001-4838 | 2006-04-27 |
| 1477173797 | Andrew Bonwook Koo | Student in an Organized Health Care Education/Training Program | 20 York St, New Haven, CT 06510-3220 | 2020-04-17 |
| 1831540772 | Andrew Seungkyo Koo | Obstetrics & Gynecology | 2150 Pennsylvania Ave Nw Fl 5, Washington, DC 20037-3201 | 2016-06-22 |
| 1255363677 | Andrew Hok-ching Koo | Specialist | 3031 Tisch Way, Ste 400, San Jose, CA 95128-2541 | 2006-07-07 |
| Street Address |
82 E VIEW LN STE 3 FAMILY PSYCHIATRY ASSOCIATES |
| City | BERLIN |
| State | VT |
| Zip Code | 05602-9516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760403513 | Paul F Cameron | Psychiatry & Neurology | 82 E View Ln Ste 3, Family Psychiatry Associates, Berlin, VT 05602-9516 | 2006-07-21 |
| 1477850030 | Nina H Gaby | Nurse Practitioner | 82 E View Ln Ste 3, Family Psychiatry Associates, Berlin, VT 05602-9516 | 2011-02-17 |
| 1477574036 | Maureen Claire Wilson | Social Worker | 82 E View Ln Ste 3, Family Psychiatry Associates, Berlin, VT 05602-9516 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306476981 | Morgan Lamson | Nurse Practitioner | Central Vermont Medical Center, 130 Fisher Road, Berlin, VT 05602 | 2020-01-22 |
| 1265086037 | Abbey Lynne Rouleau | Nurse Practitioner | Cvmc Palliative Care, 130 Fisher Road 2nd Floor, Berlin, VT 05602 | 2019-07-30 |
| 1295229896 | Julia Chafets | Social Worker | 132 Main St Ste 2, Montpelier, VT 05602 | 2018-06-18 |
| 1528599297 | Irene Chamberlain | Physician Assistant | 1311 Barre-montpelier Road, Suite 200, Cvmc Expresscare, Berlin, VT 05602 | 2017-03-24 |
| 1528506508 | Caitlin Roberts | Specialist/Technologist | 930 Gallison Hill Rd, U32 Middle and High School, Montpelier, VT 05602 | 2017-02-09 |
| 1417493297 | Sayed Shahabodin Khatounabadi | Pharmacist | 29-31 Main St, Montpelier, VT 05602 | 2017-01-17 |
| 1972052660 | Frangis Aliakbarkhani | Pharmacist | 29-31 Main St., Montpelier, VT 05602 | 2016-09-23 |
| 1144676610 | Shippee Family Eye Care PC | Optometrist | 15 East State St, Montpelier, VT 05602 | 2016-05-13 |
| 1326457060 | Elizabeth Afanasyev | Physician Assistant | 1311 Barre-montpelier Road Suite 200, Berlin, VT 05602 | 2014-08-06 |
| 1790193985 | Jennifer Sanborn | Counselor | 246 Granger Rd., Suite 2, Berlin, VT 05602 | 2014-07-31 |
| Find all providers in zip 05602 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619498383 | Island Care Mental Health | Psychiatry & Neurology | 11022 Nicholas Lane, Unit 2 Suite1 Village Square Center, Berlin, MD 21811-1663 | 2017-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932237294 | Genevieve Anne Williamson | Psychiatry & Neurology | 6393 Route 7, North Ferrisburgh, VT 05473-7122 | 2007-03-01 |
| 1023115599 | David Kirke Hedden | Psychiatry & Neurology | 708 Barstow Rd., Shelburne, VT 05482-6986 | 2006-09-19 |
| 1689787673 | Paul D. Boutin | Psychiatry & Neurology | 51 Fairview Street, Brattleboro, VT 05301-6629 | 2006-08-16 |
| 1578528220 | Norton Garber | Psychiatry & Neurology | 227 Hickory Ridge Rd, Putney, VT 05346-8933 | 2006-04-18 |
| 1881099950 | Philip Laplante | Psychiatry & Neurology | 1 Anna Marsh Lane, Brattleboro, VT 05302 | 2014-10-30 |
| 1649698911 | Haley Mcgowan | Psychiatry & Neurology | 111 Colchester Ave, Burlington, VT 05401-1473 | 2014-04-02 |
| 1396006698 | Robin K. Caron | Psychiatry & Neurology | Anna Marsh Lane, Brattleboro, VT 05302 | 2012-06-04 |
| 1386905032 | Alan Joseph Frascoia | Psychiatry & Neurology | 289 County Rd, Windsor, VT 05089-9000 | 2012-05-30 |
| 1407147564 | Milangel Thaymee Concepcion Zayas | Psychiatry & Neurology | 1 Anna Marsh Lane, Brattleboro Retreat- Anna Marsh Behavioral Care Clinic, Brattleboro, VT 05302 | 2011-04-25 |
| 1144529611 | Margaret Spottswood | Psychiatry & Neurology | 617 Riverside Ave, Burlington, VT 05401-1601 | 2011-03-22 |
| Find all providers with the same taxonomy | ||||
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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.