DR. DOUGLAS MARR SPECK (NPI# 1841319043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841319043 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS MARR SPECK |
| Credential | PH.D. |
| Practice Address |
540 Route 5 South Bradford VT 05033 |
| Mailing Address |
Po Box 88 Bradford VT 05033 |
| Practice Telephone | 8022229001 |
| Practice Fax Number | 8022229242 |
| Mailing Telephone | 8022229001 |
| Mailing Fax Number | 8022229242 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
918 | NH | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
754 | VT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30423048 | 05 | |
| VT | 1007089 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205950227 | Douglas P. Speck | Chiropractor | 405 E Sangamon Ave, Springfield, IL 62702-1762 | 2007-03-16 |
| Street Address |
540 ROUTE 5 SOUTH |
| City | BRADFORD |
| State | VT |
| Zip Code | 05033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306215371 | Lynn Irwin | Psychoanalyst | 331 Upper Plain (u.s Route 5), Bradford Medical Center, Bradford, VT 05033 | 2015-09-21 |
| 1083907281 | Demetra S Hazatones | Counselor | 1483 Lower Plain, Bradford, VT 05033 | 2011-05-20 |
| 1649353731 | Jessie Reynolds | Family Medicine | 437 South Main Street, Bradford, VT 05033 | 2006-10-23 |
| 1912087867 | Lisa K Jensen | Midwife | 331 Upper Plain, Bradford, VT 05033 | 2006-10-16 |
| 1134209083 | Nancy Ryan Foote | Nurse Practitioner | 331 Upper Plain Suite 1, Upper Plain, Bradford, VT 05033 | 2006-10-16 |
| 1073607644 | Lora Oakes Chatfield | Advanced Practice Midwife | 23 Upper Plain, Bradford, VT 05033 | 2006-10-03 |
| 1851407118 | Margarethe M Chobanian | Pediatrics | 437 South Main St, Bradford, VT 05033 | 2006-08-21 |
| 1225401219 | Travis Ryan Gross | Pharmacist | 901 Lower Pln, Bradford, VT 05033 | 2015-11-12 |
| 1396115218 | Bonnie W. Irwin | Psychoanalyst | 331 Upper Plain, Bradford Medical Center, Bradford, VT 05033 | 2015-10-05 |
| 1679858690 | Pamela Sue Ashton | Counselor | 131 Main St., 2nd Fl Suite3, Bradford, VT 05033 | 2011-10-21 |
| Find all providers in zip 05033 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669693727 | Walter Lloyd Rhinehart | Psychologist | 211 West Corydon Street, Bradford, PA 16701-3907 | 2007-05-02 |
| 1295952125 | Carl J. Longosky | Psychologist | 339 Bolivar Dr, Bradford, PA 16701-3133 | 2007-04-20 |
| 1376770966 | Danielle L Garris | Psychologist | 800 E Main St, Bradford, PA 16701-3278 | 2009-06-22 |
| 1275753543 | Heidi M. Nostrant | Psychologist | 142 Main St., Bradford, VT 05033-0142 | 2007-04-27 |
| 1912070350 | Barry N Waterson | Psychologist | 331 Upper Pln, Bradford, VT 05033 | 2006-11-15 |
| 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.