ERIC N PETERSEN (NPI# 1225679814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225679814 |
| Entity Type | Individual |
| Full Name | ERIC N PETERSEN |
| Credential | MA |
| Practice Address |
1233 Shelburne Rd Ste C4 South Burlington VT 05403-7780 |
| Practice Telephone | 8023920405 |
| Mailing Telephone | 8023920405 |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2019-10-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 047.0133672 | VT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988572 | Eric Petersen | Nurse Practitioner | 1200 Gallatin Pike S, Madison, TN 37115-4613 | 2020-10-05 |
| 1255727863 | Eric Petersen | Student in an Organized Health Care Education/Training Program | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2015-04-09 |
| 1992020945 | Eric Petersen | Licensed Practical Nurse | 711 H St Ste 100, Anchorage, AK 99501-3464 | 2010-04-01 |
| 1184890543 | Eric J Petersen | Family Medicine | 205 E Toronto Ave, Mcallen, TX 78503-1209 | 2008-05-06 |
| 1538149042 | Eric Scott Petersen | Family Medicine | 918 W Platt St # 1, Maquoketa, IA 52060-2038 | 2006-01-19 |
| Street Address |
1233 SHELBURNE RD STE C4 |
| City | SOUTH BURLINGTON |
| State | VT |
| Zip Code | 05403-7780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659938975 | Josee-ann Guay | Student in an Organized Health Care Education/Training Program | 1060 Hinesburg Road Suite 201, South Burlington, VT 05403 | 2019-05-22 |
| 1821556390 | Alexander Taite Carpenter | Specialist/Technologist | 2069 Williston Road Ap #2, South Burlington, VT 05403 | 2019-03-04 |
| 1144732785 | Molly Koch Parker | Dietitian, Registered | 1233 Shelburne Rd Ste D2, South Burlington, VT 05403 | 2017-11-03 |
| 1497273007 | Marlena Anya Pecora | Acupuncturist | 368 Dorset St # 3, South Burlington, VT 05403 | 2017-09-03 |
| 1467908525 | Rinaben P Patel | Pharmacist | 39 Hinesburd Road, South Burlington, VT 05403 | 2016-08-29 |
| 1770949950 | Tara Flor | Chiropractor | 30 Farrell St Ste 100, South Burlington, VT 05403 | 2016-01-04 |
| 1356716187 | Frank Breen | Counselor | 163 Hinesburg Road, South Burlington, VT 05403 | 2015-12-04 |
| 1063808210 | Lisa C Harrington | Registered Nurse | Stone House Associates, 27 Rye Circle, South Burlington, VT 05403 | 2015-04-14 |
| 1083018626 | Jessica Jablonski | Speech-Language Pathologist | 2 Baldwin Ave, South Burlington, VT 05403 | 2014-10-10 |
| 1538590567 | Vasta Physical Therapy, Inc | Physical Therapist | 340 Dorset Street, Suite 2, South Burlington, VT 05403 | 2013-12-02 |
| Find all providers in zip 05403 | ||||
| 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 |
|---|---|---|---|---|
| 1578181681 | Rachel M Garnett | Psychologist | 47 Imperial Dr, South Burlington, VT 05403-7826 | 2020-07-07 |
| 1992916514 | Geraldine Oppedisano | Psychologist | Po Box 9278, South Burlington, VT 05407-9278 | 2007-05-25 |
| 1972718146 | Elizabeth Sprague | Psychologist | 1 Kennedy Dr Ste L8, South Burlington, VT 05403-7165 | 2007-05-11 |
| 1750429353 | Kay Frances Schepp | Psychologist | 340 Dorset Hts, South Burlington, VT 05403-8121 | 2007-02-03 |
| 1699862342 | Lisa M. Stephen | Psychologist | 89 Rye Cir, South Burlington, VT 05403-7632 | 2006-10-06 |
| 1326139908 | Nancy M. Hodgkins | Psychologist | 1 Kennedy Dr, Suite U-8, South Burlington, VT 05403-7152 | 2006-09-27 |
| 1336123918 | Evelyn M Smith | Psychologist | 45 Swift St, Suite 3, South Burlington, VT 05403-7314 | 2005-12-06 |
| 1710505839 | Rachel Garnett, Ma, LLC | Psychologist | 47 Imperial Dr, South Burlington, VT 05403-7826 | 2020-07-07 |
| 1598324246 | Alice Kristina Pollvogt | Psychologist | 185 Tilley Dr, South Burlington, VT 05403-4484 | 2019-06-06 |
| 1750949400 | Heather Washburn | Psychologist | 1025 Airport Dr, South Burlington, VT 05403-6013 | 2019-05-29 |
| Find all providers in SOUTH BURLINGTON | ||||
| City | SOUTH BURLINGTON |
| Zip Code | 05403 |
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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.