DR. MARISSA NICOLE PETERSEN-COLEMAN


Address: 111 Colchester Ave, Burlington, VT 05401
Phone: 8028473634

DR. MARISSA NICOLE PETERSEN-COLEMAN (NPI# 1528401759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528401759
Entity Type Individual
Full Name DR. MARISSA NICOLE PETERSEN-COLEMAN
Credential PSYD.
Practice Address 111 Colchester Ave
Burlington
VT 05401
Mailing Address 6020 Dawson Blvd
I
Norcross
GA 30093-1229
Practice Telephone 8028473634
Mailing Telephone 7706620249
Enumeration Date 2013-04-08
Last Update Date 2018-08-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
048.0132241 VT Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
PSY003680 GA Behavioral Health & Social Service Providers

Office Location

Street Address 111 COLCHESTER AVE
City BURLINGTON
State VT
Zip Code 05401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376548354 Richard A. Boothby Obstetrics & Gynecology 111 Colchester Ave, Burlington, VT 05401-1473 2005-06-16
1992304513 Jennifer Smith Henry Registered Nurse 111 Colchester Ave, Burlington, VT 05401-1473 2020-10-23
1922606581 Jessica Fischer Dietitian, Registered 111 Colchester Ave, Burlington, VT 05401-1473 2020-10-15
1922615855 Emily R Pichler Psychologist 111 Colchester Ave, Burlington, VT 05401-1473 2020-09-24
1285257618 Nadia Stefania Fletcher Registered Nurse 111 Colchester Ave, Burlington, VT 05401-1473 2020-05-20
1538781380 Jeffrey Raymond Gonzalez Pharmacist 111 Colchester Ave, Mailstop 272ba1, Burlington, VT 05401 2020-05-15
1588292874 Breshawn Best Student in an Organized Health Care Education/Training Program 111 Colchester Ave, Burlington, VT 05401-1473 2020-03-31
1528696853 Nektarios Konstantinopoulos Student in an Organized Health Care Education/Training Program 111 Colchester Ave, Burlington, VT 05401-1473 2020-03-31
1457989071 Siddique Tanzeem Akram Student in an Organized Health Care Education/Training Program 111 Colchester Ave, Burlington, VT 05401-1473 2020-03-30
1184252124 Steven Direda II Student in an Organized Health Care Education/Training Program 111 Colchester Ave, Burlington, VT 05401-1473 2020-03-27
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871119412 Krista Reincke, Psy.d., LLC Psychologist 86 Saint Paul St Ste 307, Burlington, VT 05401-4958 2020-06-19
1346706322 Adoria Senning Psychologist 1 Main St Ste 308, Burlington, VT 05401-8480 2019-02-14
1104215243 Alexandra Mizrahi Psychologist 148 College St Ste 202c, Burlington, VT 05401-8476 2015-01-13
1437394129 Neil R Metzner Psychologist 851 Pine Street, Burlington, VT 05401-3898 2008-12-09
1710183801 Ene Piirak Psychologist 196 Battery St, Burlington, VT 05401-5287 2007-06-25
1407972334 Mary Ellen Atkins Psychologist 92 Adams Street, Burlington, VT 05401 2007-03-22
1326179078 Stephanie Joy Katzman Psychologist 101 Cambridge St Ste 230, Burlington, MA 01803-3767 2007-03-07
1902935372 William M. Butler Psychologist 125 College St, Burlington, VT 05401-8444 2007-03-03
1952442907 Valerie Ruth Padgett Psychologist 2971 Crouse Ln Ste D, Burlington, NC 27215-8446 2007-02-12
1821153594 Tim Caufield, Phd LLC Psychologist 484 N Pine St, Burlington, WI 53105-1417 2006-12-23
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Competitor

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City BURLINGTON
Zip Code 05401

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Dataset Information

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.

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