DR. JANE G TILLMAN (NPI# 1679612600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679612600 |
| Entity Type | Individual |
| Full Name | DR. JANE G TILLMAN |
| Credential | PH.D. |
| Practice Address |
25 Main St. The Austen Riggs Center Stockbridge MA 01262-0962 |
| Mailing Address |
Po Box 962 The Austen Riggs Center Stockbridge MA 01262-0962 |
| Practice Telephone | 4139315213 |
| Mailing Telephone | 4139315213 |
| Mailing Fax Number | 4132984020 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
7009 | MA | Behavioral Health & Social Service Providers |
| Street Address |
25 MAIN ST. THE AUSTEN RIGGS CENTER |
| City | STOCKBRIDGE |
| State | MA |
| Zip Code | 01262-0962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457835936 | Sandra Delgado | Psychologist | 25 Main St., Stockbridge, MA 01262-0962 | 2018-09-20 |
| 1831620541 | David F. Flynn, Md, PC | Psychiatry & Neurology | 25 Main St., Stockbridge, MA 01262 | 2017-03-23 |
| 1861876963 | Michael Blake | Psychologist | 25 Main St., Office 322, Stockbridge, MA 01262-0962 | 2015-07-17 |
| 1104218643 | Amy Taylor | Psychologist | 25 Main St., Stockbridge, MA 01262 | 2015-02-20 |
| 1164691960 | Avram Schwartz | Social Worker | 25 Main St., Stockbridge, MA 01262 | 2008-02-26 |
| 1164625570 | Ruth Elisabeth Guttormsen | Registered Nurse | 25 Main St., Stockbridge, MA 01262 | 2007-06-06 |
| 1437364668 | Milton Gerard Fromm | Psychologist | 25 Main St., Stockbridge, MA 01262 | 2007-05-11 |
| 1164646865 | Sami Strout | Registered Nurse | 25 Main St., Stockbridge, MA 01262 | 2007-04-12 |
| 1194848515 | Vera May Golden | Registered Nurse | 25 Main St., Stockbridge, MA 01262 | 2007-04-09 |
| 1790807956 | Linda L Vandeusen | Registered Nurse | 25 Main St., Stockbridge, MA 01261-0952 | 2007-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144705336 | Carole Owens | Social Worker | 14 Prospect Hill Road, Stockbridge, MA 01262 | 2018-10-03 |
| 1063707909 | Elisabeth J Wheeler | Counselor | 3 Hill Rd., Stockbridge, MA 01262 | 2011-06-17 |
| 1134324155 | Jolene Alicia Krol | Dentist | 3 Elm St., Stockbridge, MA 01262 | 2007-06-19 |
| 1851501241 | Erin Marie Obrien | Social Worker | 3 Lee Rd, Stockbridge, MA 01262 | 2007-05-23 |
| 1467518035 | Frances Lippmann | Psychologist | 2 Cherry St, Stockbridge, MA 01262 | 2006-12-28 |
| 1861597320 | Paul Lippman | Psychologist | 3 Elm Street, Stockbridge, MA 01262 | 2006-09-13 |
| 1770697666 | Anne Mary Carter | Psychiatry & Neurology | Austen Riggs Center, 25 Main Street, Stockbridge, MA 01262 | 2006-08-18 |
| 1225099955 | Robert Joseph Edwards | Dentist | 3 Elm St, Stockbridge, MA 01262 | 2006-03-31 |
| 1720069792 | Gerald M Goldberg | Dentist | 2 Brookside Lane, Box 1272, Stockbridge, MA 01262 | 2005-11-08 |
| 1457352601 | Charles H Kenny | Orthopaedic Surgery | 5 Meadow Road, Stockbridge, MA 01262 | 2005-08-09 |
| Find all providers in zip 01262 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386134872 | Kathryn Elise Gallagher | Psychologist | Austen Riggs Center 25 Main Street, Stockbridge, MA 01262-0962 | 2018-05-10 |
| 1457472185 | Kathleen Elizabeth Grimes | Psychologist | 110 Eagles Walk Ste 100, Stockbridge, GA 30281-7203 | 2007-04-02 |
| 1215074786 | Sarai Padilla | Psychologist | Medlin Treatment Center, 110 Eagles Walk, Ste. 100, Stockbridge, GA 30281-7204 | 2007-01-31 |
| 1467518035 | Frances Lippmann | Psychologist | 2 Cherry St, Stockbridge, MA 01262 | 2006-12-28 |
| 1861597320 | Paul Lippman | Psychologist | 3 Elm Street, Stockbridge, MA 01262 | 2006-09-13 |
| 1548374457 | Joanne S. Yurman | Psychologist | 31 Main Street, Stockbridge, MA 01262-0682 | 2006-08-18 |
| 1861413494 | Joseph T Pate Jr. | Psychologist | 240 Corporate Center Dr, Suite D, Stockbridge, GA 30281-7214 | 2006-07-21 |
| 1477110427 | Hannah Atlas Wallerstein | Psychologist | 25 Main Street, Stockbridge, MA 01262 | 2019-05-24 |
| 1457835936 | Sandra Delgado | Psychologist | 25 Main St., Stockbridge, MA 01262-0962 | 2018-09-20 |
| 1417304783 | Seth Remington Pitman | Psychologist | Austen Riggs Center, 25 Main Street, Stockbridge, MA 01261 | 2016-05-17 |
| Find all providers in STOCKBRIDGE | ||||
| City | STOCKBRIDGE |
| Zip Code | 01262 |
Please comment or provide details below to improve the information on DR. JANE G TILLMAN.
| 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.