DR. BENJAMIN D. SKOLNIK (NPI# 1629091707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629091707 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN D. SKOLNIK |
| Credential | PSY.D. |
| Practice Address |
366 Dorset St Suite 10 South Burlington VT 05403-6209 |
| Practice Telephone | 8026547607 |
| Practice Fax Number | 8026549155 |
| Mailing Telephone | 8026547607 |
| Mailing Fax Number | 8026549155 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
047-0000724 | VT | Behavioral Health & Social Service Providers |
| Street Address |
366 DORSET ST SUITE 10 |
| City | SOUTH BURLINGTON |
| State | VT |
| Zip Code | 05403-6209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215971080 | Carol Rose Heffer | Counselor | 366 Dorset St, Suite 10, South Burlington, VT 05403-6209 | 2006-06-15 |
| 1205103017 | Whole Health Nutrition, LLC | Dietitian, Registered | 366 Dorset St, Suite 10, South Burlington, VT 05403 | 2011-11-22 |
| 1427382548 | Lindsay Fagan | Social Worker | 366 Dorset St, Suite 10, South Burlington, VT 05403-4479 | 2009-09-22 |
| 1093839995 | Gail Powell Hanson | Counselor | 366 Dorset St, Suite #10, South Burlington, VT 05403-6209 | 2007-03-17 |
| 1154483345 | Lizabeth Jane Pontzer | Psychiatry & Neurology | 366 Dorset St, Suite 10, Stone House Associates, South Burlington, VT 05403-6209 | 2006-12-14 |
| 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 | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952799694 | Lisa M. Stephen Ph.d., PC | Psychologist | 89 Rye Cir Ste 1, South Burlington, VT 05403-7632 | 2015-01-05 |
| 1760756381 | Miriam Dena London | Psychologist | 69 Joy Dr Apt E3, South Burlington, VT 05403-6124 | 2012-02-29 |
| 1457413593 | Elena Marie Ramirez | Psychologist | 595 Dorset St, Ste 2, South Burlington, VT 05403-6240 | 2006-12-14 |
| 1982667275 | Bruce Jeffrey Chalmer | Psychologist | 27 Rye Circle, South Burlington, VT 05403 | 2006-04-09 |
| 1629541883 | Genna Durante, Ph.d., Pllc | Psychologist | 27 Rye Cir, South Burlington, VT 05403-7632 | 2019-01-09 |
| 1922552207 | Kaitlin Irene Zura | Psychologist | 3000 Williston Rd, Suite 2, South Burlington, VT 05403-6082 | 2016-08-04 |
| 1225491244 | Michael J. Richards-bradt, LLC | Psychologist | 1233 Shelburne Rd Ste 360, South Burlington, VT 05403-7752 | 2016-03-29 |
| 1609231638 | Michael James Richards-bradt | Psychologist | 1233 Shelburne Rd Ste 360, South Burlington, VT 05403-7752 | 2015-12-17 |
| 1053647693 | Heather Lynch | Psychologist | 34 Patchen Rd, South Burlington, VT 05403-5704 | 2009-11-01 |
| 1093990632 | Lindsay Bennigson Jernigan | Psychologist | 185 Tilley Dr, Suite 14, South Burlington, VT 05403-4484 | 2008-01-02 |
| Find all providers in SOUTH BURLINGTON | ||||
| City | SOUTH BURLINGTON |
| Zip Code | 05403 |
Please comment or provide details below to improve the information on DR. BENJAMIN D. SKOLNIK.
| 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.