MRS. JEANNETTE D KEENAN (NPI# 1629169099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629169099 |
Entity Type | Individual |
Full Name | MRS. JEANNETTE D KEENAN |
Credential | MA |
Practice Address |
231 Concord Ave Ste 1 St Johnsbury VT 05819-1513 |
Practice Telephone | 8027485364 |
Practice Fax Number | 8027487289 |
Mailing Telephone | 8027485364 |
Mailing Fax Number | 8027487289 |
Enumeration Date | 2006-09-28 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
393 | VT | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VT | 1002184 | 05 |
Street Address |
231 CONCORD AVE STE 1 |
City | ST JOHNSBURY |
State | VT |
Zip Code | 05819-1513 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710457353 | Amber L Carrasquillo | Pharmacist | 438 Railroad St Apt 301, Saint Johnsbury, VT 05819 | 2018-11-27 |
1700378734 | Laura Amy Nixon | Physician Assistant | 41 Sherman Drive, St. Johnsbury, VT 05819 | 2018-06-05 |
1447797873 | Kingdom Autism and Behavioral Health, LLC | Behavioral Analyst | 397 Railroad Street, Suite Number #4, St. Johnsbury, VT 05819 | 2017-01-24 |
1407211493 | Scott Rosemark | Pharmacist | 957 Memorial Drive, Saint Johnsbury, VT 05819 | 2015-12-18 |
1134541295 | Meghan Davis | Counselor | 231 Concord Ave Ste 2, St Johnsbury, VT 05819 | 2014-01-09 |
1639490279 | Carol Lynn Smith | Counselor | 445 Portland St, St. Johnsbury, VT 05819 | 2010-06-17 |
1548435696 | Philip Lightbear | Counselor | 108 Cherry Street Suite 1, St Johnsburg, VT 05819 | 2008-04-29 |
1740452416 | Kimberly Dena Lightbear | Counselor | 108 Cherry Street, St Johnsbury, VT 05819 | 2008-04-02 |
1720262249 | Deborah B Goldberg | Psychologist | 1194 Main Street, Suite 107, St Johnsbury, VT 05819 | 2007-12-19 |
1154501880 | Mary Jane Egerton | Social Worker | 506 Tripp Lane, St Johnsburg, VT 05819 | 2007-11-09 |
Find all providers in zip 05819 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
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 | ST JOHNSBURY |
Zip Code | 05819 |
Please comment or provide details below to improve the information on MRS. JEANNETTE D KEENAN.
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.