DR. JEANNE ELLYN GREENBLATT (NPI# 1235250499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235250499 |
Entity Type | Individual |
Full Name | DR. JEANNE ELLYN GREENBLATT |
Credential | MD |
Practice Address |
108 Cherry St Burlington VT 05401-4295 |
Mailing Address |
4000 Spear St Charlotte VT 05445-9198 |
Practice Telephone | 8028637315 |
Mailing Telephone | 8024257048 |
Enumeration Date | 2007-04-03 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
042-0010121 | VT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VT | OVN23 | 05 |
Street Address |
108 CHERRY ST |
City | BURLINGTON |
State | VT |
Zip Code | 05401-4295 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699726729 | Wendy Sue Davis | Pediatrics | 108 Cherry St, Burlington, VT 05401 | 2006-05-13 |
1154557882 | Linda Ann Hazard | Audiologist | 108 Cherry St, Burlington, VT 05402-0070 | 2009-06-09 |
1821245713 | Kathryn Workman-daniels | Clinical Neuropsychologist | 108 Cherry St, Cshn, Burlington, VT 05401-4295 | 2008-08-21 |
1659596062 | Carol R Hassler | Pediatrics | 108 Cherry St, Drawer 37, Burlington, VT 05401-4295 | 2007-04-13 |
1164542361 | State of Vermont | Durable Medical Equipment & Medical Supplies | 108 Cherry St, Burlington, VT 05401-4295 | 2007-03-30 |
1982736989 | Kimberly Jo Aakre | Pediatrics | 108 Cherry St, Burlington, VT 05401-4295 | 2007-03-12 |
1659406296 | Vermont Department of Mental Health | Clinic/Center | 108 Cherry St, Burlington, VT 05401-4295 | 2007-02-23 |
1831252386 | Stacy M. Jordan | Audiologist | 108 Cherry St, Burlington, VT 05401-4295 | 2006-12-18 |
1396808853 | Sydney S Abernathy | Audiologist | 108 Cherry St, Burlington, VT 05401-4295 | 2006-12-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821626748 | John Henry Priester Jr. | Student in an Organized Health Care Education/Training Program | University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 | 2020-03-27 |
1730649054 | Parisa Heidari | Student in an Organized Health Care Education/Training Program | Uvmmc 111 Colchester Avenue, Burlington, VT 05401 | 2019-03-22 |
1689141988 | No Diet Dietitian, LLC | Dietitian, Registered | 163 Bayberry Circle #204, Burlington, VT 05401 | 2018-10-25 |
1073097267 | Katherine Dwyer | Physical Therapist | 128 Lakeside Ave, Burlington, Vt, 05401, Burlington, VT 05401 | 2018-09-24 |
1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
1356845416 | Rachel Carlson | Student in an Organized Health Care Education/Training Program | Uvmmc, 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-22 |
1487152096 | Garnet Transport Medicine, LLC | Ambulance | 70 S Winooski Ave Ste 255, Burlington, VT 05401 | 2018-01-29 |
1689172660 | Valerie Goldberg | Dietitian, Registered | 163 Bayberry Circle Apt 204, Burlington, VT 05401 | 2018-01-25 |
1548774235 | Emily R Day | Physical Therapist | 160 Flynn Avenue, Burlington, VT 05401 | 2017-11-17 |
Find all providers in zip 05401 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538362363 | Terrence Carter Bethea | Psychiatry & Neurology | 2054 Glenkirk Dr, Burlington, NC 27215-9441 | 2007-06-08 |
1649698911 | Haley Mcgowan | Psychiatry & Neurology | 111 Colchester Ave, Burlington, VT 05401-1473 | 2014-04-02 |
1134495286 | Qiang Zeng | Psychiatry & Neurology | 20 Wall St, Burlington, MA 01803-4758 | 2012-03-22 |
1144529611 | Margaret Spottswood | Psychiatry & Neurology | 617 Riverside Ave, Burlington, VT 05401-1601 | 2011-03-22 |
1407046501 | Katherine E Grimes | Psychiatry & Neurology | 20 Wall Street, Hvma Atrius Health, Burlington, MA 01803-4758 | 2007-07-26 |
1528154697 | John G Koutras | Psychiatry & Neurology | 1 S Prospect St, Burlington, VT 05401-3456 | 2006-10-05 |
1619068632 | James J Hudziak | Psychiatry & Neurology | 1 S Prospect St, Arnold 6, Burlington, VT 05401-3456 | 2006-09-27 |
1437161486 | David Charles Rettew | Psychiatry & Neurology | 1 S Prospect St, Arnold 6, Burlington, VT 05401-3456 | 2006-08-11 |
1821019019 | Loren Dribinsky | Psychiatry & Neurology | Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 | 2006-07-22 |
1225056443 | Leslie Mccoy Conroy | Psychiatry & Neurology | 86 Lake St, Burlington, VT 05401-5297 | 2006-07-17 |
Find all providers in BURLINGTON |
City | BURLINGTON |
Zip Code | 05401 |
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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.