MARY PAT MAZZOLA (NPI# 1457360877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457360877 |
| Entity Type | Individual |
| Full Name | MARY PAT MAZZOLA |
| Credential | PSYCHOLOGIST-MA |
| Practice Address |
185 North St Bennington VT 05201-1813 |
| Mailing Address |
120 Monument Ave Bennington VT 05201-2133 |
| Practice Telephone | 8026886262 |
| Mailing Telephone | 8026886262 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2014-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 047-0000645 | VT | Behavioral Health & Social Service Providers |
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
047-0000645 | VT | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
047-0000645 | VT | Behavioral Health & Social Service Providers |
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
047-0000645 | VT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | MANAGED HEALTH NET | 360032 | 01 |
| VT | BLUE CROSS | 59034 | 01 |
| VT | 1007784 | 05 | |
| VT | CIGNA | 2070654 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669950085 | Mary Catherine Mazzola | Speech-Language Pathologist | 339 E Maple St, North Canton, OH 44720-2593 | 2018-07-30 |
| 1912368507 | Mary Kathryn Mazzola | Social Worker | 741 Highland Ave, Winston Salem, NC 27101-4206 | 2016-03-10 |
| Street Address |
185 NORTH ST |
| City | BENNINGTON |
| State | VT |
| Zip Code | 05201-1813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700851722 | David Mellinger | Psychologist | 185 North St, Bennington, VT 05201-1813 | 2006-02-22 |
| 1871674564 | Susan M. Hoffmann-ogier | Counselor | 185 North St, Bennington, VT 05201-1813 | 2006-10-18 |
| 1063505378 | Nora Glee Parsons | Social Worker | 185 North St, Bennington, VT 05201-1813 | 2006-10-02 |
| 1184633810 | Evita Cobo | Counselor | 185 North St, Bennington, VT 05201-1813 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154720951 | Justin Carl Wilkinson | Specialist/Technologist | 320 Elm St, Bennington, VT 05201 | 2014-08-18 |
| 1134533235 | Patrick Deedy | Specialist/Technologist | 5 Appletree Ln, Bennington, VT 05201 | 2014-06-17 |
| 1083974299 | Khola Qamar | Internal Medicine | 140 Hospital Dr Ste 307, Bennington, VT 05201 | 2012-05-22 |
| 1295039808 | Bernadette R. Potratz | Massage Therapist | 160 Benmont Ave., Suite 23, Bennington, VT 05201 | 2010-12-23 |
| 1780870642 | Aaron York | Psychiatry & Neurology | 186 North Street, Bennington Va Clinic, Bennington, VT 05201 | 2007-09-24 |
| 1053434100 | Sunrise Family Resource Center | Social Worker | 244 Union Street, Bennington, VT 05201 | 2007-04-06 |
| 1316022817 | New England Consulting Inc | Chiropractor | 125 Elm Street, Bennington, VT 05201 | 2006-10-25 |
| 1306926704 | Glen Carlisle Mackenzie | Obstetrics & Gynecology | 160 Benmont Avenue, Suite 22, Bennington, VT 05201 | 2006-10-17 |
| 1982796496 | Maureen Matthews Mcclintock | Social Worker | 655 Main St., Bennington, VT 05201 | 2006-09-29 |
| 1447270525 | Robert J Miller | Dentist | 129 Elm Street, Bennington, VT 05201 | 2006-07-20 |
| Find all providers in zip 05201 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588729867 | Carol Anne Moore | Psychologist | 160 Benmont Ave, Bennington, VT 05201-1873 | 2006-12-27 |
| 1659435147 | Mary Jean Sadlak | Psychologist | 160 Benmont Ave, Suite 20, Bennington, VT 05201-1873 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306461066 | Bhuttu Mathews | Psychologist | 110 Main St Ste 4a, Burlington, VT 05401-8451 | 2020-06-09 |
| 1013575372 | Roberta M. White | Psychologist | 72 Whetstone Rd, Brattleboro, VT 05301 | 2019-06-03 |
| 1891110508 | Douglas Smith | Psychologist | 180 Foote St, Middlebury, VT 05753-2018 | 2014-03-04 |
| 1508281064 | Jeffrey Steven Martin | Psychologist | 300 Palmer Ln, Charlotte, VT 05445-4410 | 2014-02-20 |
| 1508299322 | Heather Finley Phd Pllc | Psychologist | 231 Maple St Ste 1, Burlington, VT 05401-4562 | 2013-08-15 |
| 1487935516 | Andrea Lee Kelly | Psychologist | 444 South Union St., Suite 230, Burlington, VT 05401 | 2011-09-02 |
| 1508188731 | Regina S Murphy | Psychologist | 204 Mountainview Dr, Waterbury, VT 05676-9346 | 2010-02-15 |
| 1548353808 | Sally Louise Mattson | Psychologist | 72 Grove St, Brattleboro, VT 05301-6040 | 2006-10-01 |
| 1356434690 | Camille Irene Parker | Psychologist | 1462 Green Mountain Tpke, Chester, VT 05143-8874 | 2006-10-01 |
| 1710070115 | Cecily M. Monro | Psychologist | 287 County Rd, Windsor, VT 05089-1261 | 2006-09-30 |
| Find all providers with the same taxonomy | ||||
| City | BENNINGTON |
| Zip Code | 05201 |
Please comment or provide details below to improve the information on MARY PAT MAZZOLA.
| 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.