DR. JEREMY MARK RIDENOUR (NPI# 1831558238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831558238 |
| Entity Type | Individual |
| Full Name | DR. JEREMY MARK RIDENOUR |
| Credential | PSY.D. |
| Practice Address |
25 Main Street Stockbridge MA 01262-0962 |
| Mailing Address |
25 Main Street Po Box 962 Stockbridge MA 01262-0962 |
| Practice Telephone | 9032585876 |
| Practice Fax Number | 4132984020 |
| Mailing Telephone | 4139315283 |
| Mailing Fax Number | 4132984020 |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2019-04-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 10216 | MA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 048.0117056 | VT | Behavioral Health & Social Service Providers |
| Street Address |
25 MAIN STREET |
| City | STOCKBRIDGE |
| State | MA |
| Zip Code | 01262-0962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588263511 | Elizabeth A Slowinski | Social Worker | 25 Main Street, Stockbridge, MA 01262-0126 | 2020-10-21 |
| 1477110427 | Hannah Atlas Wallerstein | Psychologist | 25 Main Street, Stockbridge, MA 01262 | 2019-05-24 |
| 1336696913 | Erin Seery LLC | Psychiatry & Neurology | 25 Main Street, Stockbridge, MA 01262-0962 | 2016-09-01 |
| 1861945545 | Megan Kolano | Psychologist | 25 Main Street, Stockbridge, MA 01262 | 2016-07-28 |
| 1225497092 | Ausaten Riggs Center | Psychiatric Residential Treatment Facility | 25 Main Street, Stockbridge, MA 01262-0962 | 2016-02-22 |
| 1689047599 | S Daltrey Turner | Social Worker | 25 Main Street, Stockbridge, MA 01262 | 2015-11-02 |
| 1801280391 | Berkshire Psychodynamic Psychiatry Inc | Psychiatry & Neurology | 25 Main Street, Stockbridge, MA 01262 | 2015-03-24 |
| 1760752919 | Lee Damsky | Psychologist | 25 Main Street, Austen Riggs Center, Stockbridge, MA 01262-0962 | 2012-01-05 |
| 1811223134 | Stella Petronda | Psychologist | 25 Main Street, Suite 208, Stockbridge, MA 01262 | 2009-10-21 |
| 1265664825 | Jennifer Anne Durham-fowler | Psychologist | 25 Main Street, Stockbridge, MA 01262-0962 | 2009-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144705336 | Carole Owens | Social Worker | 14 Prospect Hill Road, Stockbridge, MA 01262 | 2018-10-03 |
| 1063707909 | Elisabeth J Wheeler | Counselor | 3 Hill Rd., Stockbridge, MA 01262 | 2011-06-17 |
| 1134324155 | Jolene Alicia Krol | Dentist | 3 Elm St., Stockbridge, MA 01262 | 2007-06-19 |
| 1851501241 | Erin Marie Obrien | Social Worker | 3 Lee Rd, Stockbridge, MA 01262 | 2007-05-23 |
| 1467518035 | Frances Lippmann | Psychologist | 2 Cherry St, Stockbridge, MA 01262 | 2006-12-28 |
| 1861597320 | Paul Lippman | Psychologist | 3 Elm Street, Stockbridge, MA 01262 | 2006-09-13 |
| 1770697666 | Anne Mary Carter | Psychiatry & Neurology | Austen Riggs Center, 25 Main Street, Stockbridge, MA 01262 | 2006-08-18 |
| 1225099955 | Robert Joseph Edwards | Dentist | 3 Elm St, Stockbridge, MA 01262 | 2006-03-31 |
| 1720069792 | Gerald M Goldberg | Dentist | 2 Brookside Lane, Box 1272, Stockbridge, MA 01262 | 2005-11-08 |
| 1457352601 | Charles H Kenny | Orthopaedic Surgery | 5 Meadow Road, Stockbridge, MA 01262 | 2005-08-09 |
| Find all providers in zip 01262 | ||||
| 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 |
|---|---|---|---|---|
| 1043705262 | Jennifer M Jackson-allen | Psychologist | 147 Stratmore Pl, Stockbridge, GA 30281-1083 | 2018-06-29 |
| 1093868903 | Medlin Treatment Center Inc | Psychologist | 110 Eagles Walk, Ste. 100, Stockbridge, GA 30281-7204 | 2007-01-22 |
| 1962935890 | Ruffina David | Psychologist | 301 Country Club Dr, Stockbridge, GA 30281-7350 | 2017-04-07 |
| 1861945545 | Megan Kolano | Psychologist | 25 Main Street, Stockbridge, MA 01262 | 2016-07-28 |
| 1861876963 | Michael Blake | Psychologist | 25 Main St., Office 322, Stockbridge, MA 01262-0962 | 2015-07-17 |
| 1578823290 | Daniel Paul Charles Knauss | Psychologist | 25 Main St, Stockbridge, MA 01262-9701 | 2012-05-29 |
| 1760752919 | Lee Damsky | Psychologist | 25 Main Street, Austen Riggs Center, Stockbridge, MA 01262-0962 | 2012-01-05 |
| 1366618720 | Jennifer L. Stevens | Psychologist | 25 Main St, #217, Stockbridge, MA 01262 | 2008-05-06 |
| 1275745952 | Donna M Elmendorf | Psychologist | 25 Main Street, Stockbridge, MA 01262-0962 | 2007-05-04 |
| 1366587511 | Elaine Virginia Demos | Psychologist | 25 Main Street, Stockbridge, MA 01262 | 2007-02-21 |
| Find all providers in STOCKBRIDGE | ||||
| City | STOCKBRIDGE |
| Zip Code | 01262 |
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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.