DR. JASON M SCHMOTZER (NPI# 1295771038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295771038 |
Entity Type | Individual |
Full Name | DR. JASON M SCHMOTZER |
Credential | PSY.D. |
Practice Address |
Brattleboro Retreat, Anna Marsh Lane Brattleboro VT 05302 |
Mailing Address |
Brattleboro Retreat, Anna Marsh Lane, P.o. Box 803 Brattleboro VT 05302 |
Practice Telephone | 8022586773 |
Practice Fax Number | 8022583743 |
Mailing Telephone | 8022586773 |
Mailing Fax Number | 8022583743 |
Enumeration Date | 2006-06-21 |
Last Update Date | 2019-08-29 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
048.0134153 | VT | Behavioral Health & Social Service Providers |
N | 103TC0700X |
Psychologist Specialization: Clinical |
PY7006 | FL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | STATE LICENSE | PY7006 | 01 |
Street Address |
BRATTLEBORO RETREAT, ANNA MARSH LANE |
City | BRATTLEBORO |
State | VT |
Zip Code | 05302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366002636 | Brattleboro Retreat | Psychiatric Residential Treatment Facility | 24 Linden Street, Brattleboro, VT 05302 | 2019-06-18 |
1205492196 | John-paul Cloutier | Nurse Practitioner | 1 Anna Marsh Ln, Brattleboro, VT 05302 | 2019-05-15 |
1659391662 | Donald Kinley | Orthopaedic Surgery | Exit One Park, 71 Gsp Drive, Brattleboro, VT 05302 | 2006-07-20 |
1437193042 | John Turner Chard | Orthopaedic Surgery | 71 Gsp Dr., Brattleboro, VT 05302 | 2006-06-15 |
1174003354 | Gina Victoria Pearce | Counselor | 1 Anna Marsh Lane, Brattleboro, VT 05302 | 2018-08-17 |
1821506155 | Lisa M Tallin | Social Worker | 1 Anna Marsh Lane, Brattleboro, VT 05302 | 2018-01-22 |
1336654151 | Allison D Nadeau | Counselor | 1 Anna Marsh Lane, Brattleboro, VT 05302 | 2017-12-04 |
1649789918 | Emily Worden | Social Worker | 1 Anna Marsh Lane, Tyler4, Brattleboro, VT 05302 | 2017-09-29 |
1376089771 | Judy Katz | Social Worker | 1 Anna Marsh Lane, Brattleboro, VT 05302 | 2017-01-10 |
1356886691 | Sarah Catherine Kocz | Counselor | Anna Marsh Lane, Brattleboro Retreat Mind Body Pain Management Clinic, Brattleboro, VT 05302 | 2016-12-22 |
Find all providers in zip 05302 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134135734 | Harvey Liss | Psychologist | 67 Main St, Suite 38, Brattleboro, VT 05301-3908 | 2006-08-01 |
1548247570 | William David Lax | Psychologist | 167 Main St, Suite 401, Brattleboro, VT 05301-7128 | 2005-12-30 |
1841271277 | Laurence Michael Bart | Psychologist | 80 Lynden St., Brattleboro, VT 05301-9181 | 2005-11-11 |
1447616834 | Susan Balaban | Psychologist | 1 Anna Marsh Lane, Brattleboro, VT 05302-0101 | 2016-01-14 |
1518193036 | Sarah Walker Daoust | Psychologist | 80 Linden St, Brattleboro, VT 05301-2965 | 2009-06-10 |
1326252990 | Mark Anagnostopulos | Psychologist | Anna Marsh Lane, Brattleboro, VT 05302 | 2007-05-10 |
1437371705 | Martha B. Straus | Psychologist | 139 Main Street, Brattleboro, VT 05301 | 2007-05-03 |
1770591208 | Meredith Bernstein | Psychologist | 139 Main St, Room 612, Brattleboro, VT 05301-3040 | 2006-08-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225635303 | Christopher Aaron Randolph | Psychologist | 3827 Route 100, Pittsfield, VT 05762 | 2020-10-02 |
1871119412 | Krista Reincke, Psy.d., LLC | Psychologist | 86 Saint Paul St Ste 307, Burlington, VT 05401-4958 | 2020-06-19 |
1629699848 | Danielle Leriche-forkey | Psychologist | 1815 Vt Rte 15, Wolcott, VT 05680-3008 | 2020-04-28 |
1255971917 | Katherine Alice Schlageter | Psychologist | 5429 Main Street, Office C-2, Manchester Center, VT 05255 | 2020-01-10 |
1346706322 | Adoria Senning | Psychologist | 1 Main St Ste 308, Burlington, VT 05401-8480 | 2019-02-14 |
1932622461 | Jacob Robert Rusczek | Psychologist | 301 River St Ste 204, Montpelier, VT 05602-4303 | 2017-07-17 |
1326592221 | Riggs Geriatric Psychology Pllc | Psychologist | 54 Main St Ste Ll2, Windsor, VT 05089-1321 | 2016-08-09 |
1699124388 | Alicia R Hanifin | Psychologist | 73 Main St Rm 19, Montpelier, VT 05602-2944 | 2016-06-03 |
1104215243 | Alexandra Mizrahi | Psychologist | 148 College St Ste 202c, Burlington, VT 05401-8476 | 2015-01-13 |
1952799694 | Lisa M. Stephen Ph.d., PC | Psychologist | 89 Rye Cir Ste 1, South Burlington, VT 05403-7632 | 2015-01-05 |
Find all providers with the same taxonomy |
City | BRATTLEBORO |
Zip Code | 05302 |
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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.