DR. ELIZABETH B. KOOPERKAMP (NPI# 1043521297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043521297 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH B. KOOPERKAMP |
| Other Name | ELIZABETH B COOPER |
| Credential | PHD |
| Practice Address |
49 School St. Hcrs Hartford VT 05047-0709 |
| Mailing Address |
390 River St. Hcrs Springfield VT 05156-2226 |
| Practice Telephone | 8022953031 |
| Mailing Telephone | 8028864500 |
| Mailing Fax Number | 8028864520 |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2015-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
012558-1 | NY | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
048.0093460 | VT | Behavioral Health & Social Service Providers |
| Street Address |
49 SCHOOL ST. HCRS |
| City | HARTFORD |
| State | VT |
| Zip Code | 05047-0709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578583142 | Patricia A Daly | Psychiatry & Neurology | 49 School St., Hcrs, Hartford, VT 05047 | 2006-07-19 |
| 1457526816 | Lynn M. Mccormick | Psychiatry & Neurology | 49 School St., Hcrs, Hartford, VT 05047-0709 | 2008-04-28 |
| 1538333059 | Karin A. Reed | Psychiatry & Neurology | 49 School St., Hcrs, Hartford, VT 05047-0709 | 2008-04-16 |
| 1124249735 | Michael Blaise Przydzielski Sr. | Psychiatry & Neurology | 49 School St., Hcrs, Hartford, VT 05047-0709 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316407166 | Stephany M Churchill | Counselor | 49 School Street, Hartford, VT 05047 | 2019-03-20 |
| 1437614872 | Caitlin Rotkiewicz | Counselor | 49 School Street, Hartford, VT 05047 | 2019-02-08 |
| 1275011272 | Tori Meder | Counselor | 49 School Street, Hartford, VT 05047 | 2018-08-01 |
| 1417403247 | Christine Lowery | Counselor | 49 School Street, Hartford, VT 05047 | 2016-08-31 |
| 1215220926 | Nicole L Maresca | Counselor | 49 School Street, Hartford, VT 05047 | 2011-05-27 |
| 1649401845 | Mark G Young | Counselor | 49 School St, Hartford, VT 05047 | 2009-08-05 |
| 1770651952 | Kathleen M Allden | Psychiatry & Neurology | 49 School Street, Hartford, VT 05047 | 2006-12-04 |
| 1417025693 | Edmund P Piper | Counselor | 49 School Street, Hartford, VT 05047 | 2006-12-04 |
| 1841368008 | Maris O Noble | Psychologist | 49 School Street, Hartford, VT 05047 | 2006-12-04 |
| 1215002522 | Brad M Sewall | Counselor | 49 School Street, Hartford, VT 05047 | 2006-11-21 |
| Find all providers in zip 05047 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366065963 | Leah Elizabeth Morgan | Psychologist | 56 Arbor St Ste 100-a, Hartford, CT 06106-1222 | 2020-05-19 |
| 1306318670 | Integrative Psychological Center LLC | Psychologist | 44 Capitol Ave Ste 402, Hartford, CT 06106-1764 | 2018-12-26 |
| 1326553983 | Marissa Sicley-rogers | Psychologist | 200 Retreat Ave Bldg 5th, Hartford, CT 06106-3309 | 2017-12-05 |
| 1508394834 | Ct Psychological Consulting Services, LLC | Psychologist | 210 Wethersfield Ave Fl 2, Hartford, CT 06114-1113 | 2017-05-31 |
| 1891049003 | Randall Kent Wallace | Psychologist | 36 Russ St, Hartford, CT 06106-1520 | 2012-11-09 |
| 1326399213 | Kathryne Stuart Marinchak | Psychologist | 135 Allen Pl, Hartford, CT 06106-3103 | 2012-10-02 |
| 1255681813 | Silvia Corbera Lopez | Psychologist | 200 Retreat Avnue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3310 | 2012-09-11 |
| 1801165469 | Angelica Valentin-colon | Psychologist | 151 New Park Avenue, Suite 117, Hartford, CT 06106-2152 | 2011-12-27 |
| 1184776163 | Stephen Michael Humphrey | Psychologist | 602 New Britain Ave, Hartford, CT 06106-4033 | 2007-01-18 |
| 1275609711 | Sean Timothy Hart | Psychologist | 864 Wethersfield Avenue First Floor, Hartford Center for Psychotherapy, Hartford, CT 06114 | 2006-11-27 |
| Find all providers in HARTFORD | ||||
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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.