ROBERTA K BENNETT MD (NPI# 1023312246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023312246 |
| Entity Type | Organization |
| Organization Name | ROBERTA K BENNETT MD |
| Practice Address |
160 Benmont Ave Ste 20 Bennington VT 05201-1842 |
| Practice Telephone | 8024423570 |
| Practice Fax Number | 8024473392 |
| Mailing Telephone | 8024423570 |
| Mailing Fax Number | 8024473392 |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |
| Authorized Official Name | ROBERTA K BENNETT (OWNER) |
| Authorized Official Telephone | 8024423520 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
042-0007424 | VT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0005143 | 05 |
| Street Address |
160 BENMONT AVE STE 20 |
| City | BENNINGTON |
| State | VT |
| Zip Code | 05201-1842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932551991 | Green Mountain Emdr and Psychotherapy, Pllc | Social Worker | 160 Benmont Ave Ste 20, Bennington, VT 05201-1842 | 2016-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154720951 | Justin Carl Wilkinson | Specialist/Technologist | 320 Elm St, Bennington, VT 05201 | 2014-08-18 |
| 1134533235 | Patrick Deedy | Specialist/Technologist | 5 Appletree Ln, Bennington, VT 05201 | 2014-06-17 |
| 1083974299 | Khola Qamar | Internal Medicine | 140 Hospital Dr Ste 307, Bennington, VT 05201 | 2012-05-22 |
| 1295039808 | Bernadette R. Potratz | Massage Therapist | 160 Benmont Ave., Suite 23, Bennington, VT 05201 | 2010-12-23 |
| 1780870642 | Aaron York | Psychiatry & Neurology | 186 North Street, Bennington Va Clinic, Bennington, VT 05201 | 2007-09-24 |
| 1053434100 | Sunrise Family Resource Center | Social Worker | 244 Union Street, Bennington, VT 05201 | 2007-04-06 |
| 1316022817 | New England Consulting Inc | Chiropractor | 125 Elm Street, Bennington, VT 05201 | 2006-10-25 |
| 1306926704 | Glen Carlisle Mackenzie | Obstetrics & Gynecology | 160 Benmont Avenue, Suite 22, Bennington, VT 05201 | 2006-10-17 |
| 1982796496 | Maureen Matthews Mcclintock | Social Worker | 655 Main St., Bennington, VT 05201 | 2006-09-29 |
| 1447270525 | Robert J Miller | Dentist | 129 Elm Street, Bennington, VT 05201 | 2006-07-20 |
| Find all providers in zip 05201 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538457981 | Priscilla Paiva | Psychiatry & Neurology | 140 Hospital Dr, Bennington, VT 05201-5009 | 2011-07-19 |
| 1700916137 | Clinical Neuroscience Research Associates, Inc. | Psychiatry & Neurology | 357 Shields Dr, Bennington, VT 05201-9810 | 2007-03-06 |
| 1386747335 | Neurological Consultants, P.C. | Psychiatry & Neurology | 160 Benmont Ave, Suite 25, Bennington, VT 05201-1873 | 2006-09-06 |
| 1326006453 | Andrew E Budson | Psychiatry & Neurology | 357 Shields Dr, The Memory Clinic, Bennington, VT 05201-9810 | 2006-05-01 |
| 1124004627 | Joseph Harold Kratzer | Psychiatry & Neurology | 140 Hospital Dr, Suite 309, Bennington, VT 05201-5009 | 2005-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952796559 | John Steele Taylor Jr. | Psychiatry & Neurology | University of Vermont College of Medicine, 89 Beaumont Drive, Given D401, Burlington, VT 05405-0001 | 2015-03-31 |
| 1407091366 | Andrew Jay Solomon | Psychiatry & Neurology | 1 South Prospect St., Neurology, Burlington, VT 05403 | 2008-12-08 |
| 1982742953 | Peter Joseph Szostak | Psychiatry & Neurology | 28 East St, Rutland, VT 05701-4127 | 2007-02-02 |
| 1215955430 | Peter Matthias Bingham | Psychiatry & Neurology | 110 Colchester Ave, East Pavilon, Level 4, Burlington, VT 05401-1473 | 2006-07-17 |
| 1124069588 | Dorothea L. De Gutis | Psychiatry & Neurology | 51 Fairview St, Brattleboro, VT 05301-6629 | 2006-06-09 |
| 1174581516 | Gregory L. Holmes | Psychiatry & Neurology | 111 Colcher Ster Avenue, Patrick 5-cnl, Burlington, VT 05401 | 2006-05-03 |
| 1457317380 | Richard P. Lango | Psychiatry & Neurology | 73 Center St, Rutland, VT 05701-4046 | 2006-04-20 |
| 1225018906 | Katherine Ann Wayman | Psychiatry & Neurology | 89 S Williams St, Burlington, VT 05401-3405 | 2006-01-19 |
| 1831171438 | Rizwan Ul Haq | Psychiatry & Neurology | 189 Prouty Dr, Medical Arts Building 2nd Floor, Newport, VT 05855-9326 | 2005-11-18 |
| 1174004261 | Northwestern Medical Center, Inc. | Psychiatry & Neurology | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2018-08-27 |
| Find all providers with the same taxonomy | ||||
| City | BENNINGTON |
| Zip Code | 05201 |
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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.