PSYCHOTHERAPY ASSOCIATES (NPI# 1104034529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104034529 |
| Entity Type | Organization |
| Organization Name | PSYCHOTHERAPY ASSOCIATES |
| Practice Address |
90 Mahoney Ave Rutland VT 05701 |
| Practice Telephone | 8027752581 |
| Practice Fax Number | 8027753395 |
| Mailing Telephone | 8027752581 |
| Mailing Fax Number | 8027753395 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ALBON J COGHLON (OWNER) |
| Authorized Official Telephone | 8027752581 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TC0700X |
Psychologist Specialization: Clinical |
0680000177 | VT | Behavioral Health & Social Service Providers |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
5324 | VT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0005085 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255780284 | Psychotherapy Associates | Community/Behavioral Health | 3208 N Academy Blvd Ste 160, Colorado Springs, CO 80917-5155 | 2016-06-09 |
| 1679103477 | Psychotherapy Associates | Psychologist | 3208 N Academy Blvd Ste 160, Colorado Springs, CO 80917-5155 | 2020-01-21 |
| 1225159122 | Psychotherapy Associates | Psychologist | 4232 Albany Post Rd, Hyde Park, NY 12538-1766 | 2007-04-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | PSYCHOTHERAPY ASSOCIATES | 90 Mahoney Avenue, Rutland, VT 05701 |
| Vermont Business Registrations | PSYCHOTHERAPY ASSOCIATES OF BENNINGTON-MANCHESTER | 314 Dewey St., Bennington, VT 05201 |
| System for Award Management (SAM) Entities | PSYCHOTHERAPY ASSOCIATES OF LANCASTER COUNTY | 1919 S 40th St Ste 312, Lincoln, NE 68506-0000 |
| Massachusetts Corporations | PSYCHOTHERAPY ASSOCIATES OF WORCESTER,INC. | 55 Cedar St., Worcester, MA 01609 |
| Alabama Business Registrations | PSYCHOTHERAPY ASSOCIATES, L.L.C. | 153 Orange Avenue, Fairhope, AL 36532 |
| Washington State Corporations | PSYCHOTHERAPY ASSOCIATES, PS | 3136 E. Madison, Ste. 100, Seattle, WA 98112 |
| Street Address |
90 MAHONEY AVE |
| City | RUTLAND |
| State | VT |
| Zip Code | 05701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063448694 | Bridget Leicester | Social Worker | 90 Mahoney Ave, Psychiatry & Psychotherapy Assocs, Rutland, VT 05701-0000 | 2006-06-24 |
| 1376186551 | Nina Elaine Gee | Acupuncturist | 90 Mahoney Ave, Rutland, VT 05701-4836 | 2019-10-21 |
| 1992248314 | Nina Gee, Ms Lac | Acupuncturist | 90 Mahoney Ave, Rutland, VT 05701-4836 | 2016-12-02 |
| 1669731477 | Life Source Chiropractic Inc. | Chiropractor | 90 Mahoney Ave, Rutland, VT 05701-4836 | 2012-05-14 |
| 1497087159 | Jared Galster | Chiropractor | 90 Mahoney Ave, Rutland, VT 05701-4836 | 2010-02-05 |
| 1568615441 | Sanctuary Integrative Medicine PC | Preventive Medicine | 90 Mahoney Ave, Rutland, VT 05701-4836 | 2008-10-23 |
| 1578765285 | Dalite Sancic | Acupuncturist | 90 Mahoney Ave, Rutland, VT 05701-4836 | 2007-06-04 |
| 1780742551 | Ann M Friedman | Counselor | 90 Mahoney Ave, Rutland, VT 05701 | 2006-12-05 |
| 1215007067 | Alban J Coghlan | Psychiatry & Neurology | 90 Mahoney Ave, Rutland, VT 05701 | 2006-11-09 |
| 1912914607 | Gail R Coghlow | Psychologist | 90 Mahoney Ave, Rutland, VT 05701-4836 | 2006-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639721186 | All Dimensions Primary Care Pllc | Physician Assistant | 92 Allen Street, Rutland, VT 05701 | 2019-07-15 |
| 1962809053 | Laura Kalinen Laprise | Nurse Practitioner | Rutland Community Health Center, 215 Stratton Road, Rutland, VT 05701 | 2014-12-04 |
| 1962818781 | Andrea Louise Welch | Pharmacist | 1 Rutland Shopping Plaza, Rutland, VT 05701 | 2014-07-02 |
| 1396158903 | Gwendolyn Koenig | Counselor | 78 South Main St., Rutland, VT 05701 | 2014-06-11 |
| 1194088195 | Marcie Bouchard | Early Intervention Provider Agency | 24a East Street, Rutland, VT 05701 | 2012-06-25 |
| 1790047009 | Pamela Lenoci | Massage Therapist | 196 Joshua Place, Rutland, VT 05701 | 2012-06-12 |
| 1528339959 | Deborah E. Boston | Social Worker | 128 Merchants Row Ste 510, Rutland, VT 05701 | 2012-01-17 |
| 1235431834 | Alicia Marie Riesterer | Occupational Therapy Assistant | 46 Nichols St., Rutland Healthcare and Rehabilitation Center, Rutland, VT 05701 | 2010-12-02 |
| 1497085401 | Lauren Ann Lasante | Counselor | 198 N Main St Ste C-5, Rutland, VT 05701 | 2010-01-14 |
| 1568692515 | Steven C. Duboff, Dmd, PC | Dentist | 198 North Main St, Rutland, VT 05701 | 2009-07-23 |
| Find all providers in zip 05701 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639259914 | Marc D Carpenter | Psychologist | 1085 Us Route 4 E Ste 2a, Rutland, VT 05701-8007 | 2006-10-17 |
| 1316044506 | William Lawther Cunningham | Psychologist | 1085 Us Rte 4e, Ste 2a Eastridge Professional Building, Rutland, VT 05701 | 2006-09-20 |
| 1831151687 | Marc A. Cecil | Psychologist | 65 N Main St, Rutland, VT 05701-3252 | 2006-04-05 |
| 1669877452 | Danielle Rae Bergeron Ingram | Psychologist | 78 S Main St, Rutland, VT 05701-4591 | 2014-10-23 |
| 1518300144 | John Page Jessup | Psychologist | 1085 Us Route 4 E Ste 2a, Rutland, VT 05701-8007 | 2013-04-13 |
| 1679630438 | Jeffrey D Mckee | Psychologist | 160 Allen St, Rutland, VT 05701-4560 | 2007-01-02 |
| 1659450070 | Cheryl D. Dean | Psychologist | 128 Merchants Row, Suite 309, Rutland, VT 05701-5909 | 2006-11-05 |
| 1053408518 | Martin James Fino | Psychologist | 73 Center St, Rutland, VT 05701-4046 | 2006-10-06 |
| 1255423927 | J. David Long | Psychologist | 78 S Main St, Rutland, VT 05701-4530 | 2006-09-29 |
| 1912914607 | Gail R Coghlow | Psychologist | 90 Mahoney Ave, Rutland, VT 05701-4836 | 2006-08-02 |
| Find all providers in RUTLAND | ||||
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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.