DR. PAUL LOUIS CANDIDO (NPI# 1790885846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790885846 |
| Entity Type | Individual |
| Full Name | DR. PAUL LOUIS CANDIDO |
| Credential | PH.D. |
| Practice Address |
145 Pine Haven Shores Rd Suite 2032 Shelburne VT 05482-7703 |
| Practice Telephone | 8028644513 |
| Practice Fax Number | 8029855061 |
| Mailing Telephone | 8028644513 |
| Mailing Fax Number | 8029855061 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0480000412 | VT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1002636 | 05 |
| Street Address |
145 PINE HAVEN SHORES RD SUITE 2032 |
| City | SHELBURNE |
| State | VT |
| Zip Code | 05482-7703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699795617 | Jamie Anne Edwards-orr | Social Worker | 145 Pine Haven Shores Rd, Suite 2061, Shelburne, VT 05482-7703 | 2006-07-20 |
| 1073136347 | Pdi Health Vt LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 145 Pine Haven Shores Rd, Shelburne, VT 05482-7703 | 2020-05-21 |
| 1154944429 | Pdi Health Vt LLC | Clinic/Center | 145 Pine Haven Shores Rd, Shelburne, VT 05482-7703 | 2020-05-21 |
| 1790226108 | Shelburne Medical Supplies | Durable Medical Equipment & Medical Supplies | 145 Pine Haven Shores Rd, Shelburne, VT 05482-7703 | 2017-03-17 |
| 1124473095 | Vicki Garrison | Counselor | 145 Pine Haven Shores Rd, Suite 2094, Shelburne, VT 05482-7703 | 2016-04-28 |
| 1467606897 | Georgina Lynn Achilles | Counselor | 145 Pine Haven Shores Rd, Suite 2091, Shelburne, VT 05482-7703 | 2008-11-12 |
| 1548382468 | Simon Frishkoff | Naturopath | 145 Pine Haven Shores Rd, Suite 2165, Shelburne, VT 05482-7703 | 2007-04-03 |
| 1952437543 | Philip J Davignon | Preventive Medicine | 145 Pine Haven Shores Rd, Shelburne, VT 05482-7703 | 2007-02-26 |
| 1710099791 | Beth Anne Wermuth | Psychologist | 145 Pine Haven Shores Rd, Suite 2032, Shelburne, VT 05482-7703 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124446422 | Lorraine Farrell | Physical Therapist | 267 Executive Drive, Shelburne, VT 05482 | 2014-04-03 |
| 1700212982 | Gregory P. Guilmartin | Technician/Technologist | 2989 Shelburne Road, Shelburne, VT 05482 | 2013-09-19 |
| 1104183524 | Kph Healthcare Services, Inc. | Pharmacy | 47 Executive Drive, Shelburne, VT 05482 | 2012-04-23 |
| 1720227622 | Margaret Foster | Social Worker | 5138 Shelburne Road, Shelburne, VT 05482 | 2009-02-17 |
| 1841458544 | Jeffrey Blaine Waite | Pharmacist | 86 Bay Road, Shelburne, VT 05482 | 2008-05-29 |
| 1730234964 | Barbara Van Drimmelen PC | Psychologist | 1 Marsett Rd., Shelburne, VT 05482 | 2007-01-25 |
| 1619035771 | Sara Jane Packard | Internal Medicine | 4070 Shelburne Rd, Shelburne, VT 05482 | 2006-12-04 |
| 1093889578 | Marian Bernice Feldman | Counselor | 5224 Shelburne Rd Suite S, Shelburne, VT 05482 | 2006-11-17 |
| 1265518088 | Mary C. Spicer | Chiropractor | 5247 Shelburne Rd., Suite 204, Shelburne, VT 05482 | 2006-10-27 |
| 1386687325 | Carl J Gutierrez | Anesthesiology | 4180 Harbor Rd, Shelburne, VT 05482 | 2006-06-14 |
| Find all providers in zip 05482 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477535219 | Linda Vieth Rosenblad | Psychologist | 5224 Shelburne Rd, Shelburne, VT 05482-6621 | 2005-11-17 |
| 1427053586 | Milton J Marasch | Psychologist | 145 Pine Haven Shores Rd Ste 1011, Shelburne, VT 05482-7812 | 2005-06-16 |
| 1689059594 | Victoria A. Marini Bowley | Psychologist | 4281 Shelburne Rd, Shelburne, VT 05482 | 2015-07-22 |
| 1902942618 | William Patrick Ryan | Psychologist | 5 State Street, Shelburne, MA 01370 | 2007-01-29 |
| 1710099791 | Beth Anne Wermuth | Psychologist | 145 Pine Haven Shores Rd, Suite 2032, Shelburne, VT 05482-7703 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225635303 | Christopher Aaron Randolph | Psychologist | 3827 Route 100, Pittsfield, VT 05762 | 2020-10-02 |
| 1871119412 | Krista Reincke, Psy.d., LLC | Psychologist | 86 Saint Paul St Ste 307, Burlington, VT 05401-4958 | 2020-06-19 |
| 1629699848 | Danielle Leriche-forkey | Psychologist | 1815 Vt Rte 15, Wolcott, VT 05680-3008 | 2020-04-28 |
| 1255971917 | Katherine Alice Schlageter | Psychologist | 5429 Main Street, Office C-2, Manchester Center, VT 05255 | 2020-01-10 |
| 1346706322 | Adoria Senning | Psychologist | 1 Main St Ste 308, Burlington, VT 05401-8480 | 2019-02-14 |
| 1932622461 | Jacob Robert Rusczek | Psychologist | 301 River St Ste 204, Montpelier, VT 05602-4303 | 2017-07-17 |
| 1326592221 | Riggs Geriatric Psychology Pllc | Psychologist | 54 Main St Ste Ll2, Windsor, VT 05089-1321 | 2016-08-09 |
| 1699124388 | Alicia R Hanifin | Psychologist | 73 Main St Rm 19, Montpelier, VT 05602-2944 | 2016-06-03 |
| 1104215243 | Alexandra Mizrahi | Psychologist | 148 College St Ste 202c, Burlington, VT 05401-8476 | 2015-01-13 |
| 1952799694 | Lisa M. Stephen Ph.d., PC | Psychologist | 89 Rye Cir Ste 1, South Burlington, VT 05403-7632 | 2015-01-05 |
| 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.