PAUL D. BOUTIN (NPI# 1689787673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689787673 |
| Entity Type | Individual |
| Full Name | PAUL D. BOUTIN |
| Credential | MD |
| Practice Address |
51 Fairview Street Brattleboro VT 05301-6629 |
| Mailing Address |
390 River Street Springfield VT 05156-2226 |
| Practice Telephone | 8022546028 |
| Practice Fax Number | 8022547501 |
| Mailing Telephone | 8028864500 |
| Mailing Fax Number | 8028864520 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2019-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
042.0011364 | VT | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
042 0011364 | VT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1013948 | 05 | |
| NH | 3113771 | 05 |
| Street Address |
51 FAIRVIEW STREET |
| City | BRATTLEBORO |
| State | VT |
| Zip Code | 05301-6629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790391829 | Maya J. Shulman-ment | Counselor | 51 Fairview Street, Brattleboro, VT 05301-6629 | 2020-09-23 |
| 1932735776 | Traci L Bartlett | Counselor | 51 Fairview Street, Brattleboro, VT 05301-6629 | 2020-03-12 |
| 1962048975 | Alexandra C. Keep | Counselor | 51 Fairview Street, Brattleboro, VT 05301-6629 | 2019-11-25 |
| 1942859368 | Ethan Hazzard-watkins | Counselor | 51 Fairview Street, Brattleboro, VT 05301-6629 | 2019-09-09 |
| 1518510403 | Emma R Sheldon | Counselor | 51 Fairview Street, Brattleboro, VT 05301-6629 | 2019-07-19 |
| 1821561663 | Crystal O'brien | Counselor | 51 Fairview Street, Brattleboro, VT 05301 | 2019-01-04 |
| 1902377641 | David A. Bingham | Counselor | 51 Fairview Street, Brattleboro, VT 05301 | 2018-12-06 |
| 1316414774 | Deborah L Shaw | Registered Nurse | 51 Fairview Street, Brattleboro, VT 05301 | 2018-10-24 |
| 1215413752 | Kimberley A. Lord | Behavioral Analyst | 51 Fairview Street, Brattleboro, VT 05301 | 2018-07-18 |
| 1629589056 | Elizabeth R. Harris | Counselor | 51 Fairview Street, Brattleboro, VT 05301 | 2017-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013575372 | Roberta M. White | Psychologist | 72 Whetstone Rd, Brattleboro, VT 05301 | 2019-06-03 |
| 1225526940 | Audrey Johnston | Nurse Practitioner | Brattleboro Family Medicine, 53 Fairview Street, Brattleboro, VT 05301 | 2018-04-27 |
| 1811349582 | Jillian Barney | Physician Assistant | 17 Belmont Ave Richards Building (1st Floor), Barttleboro, VT 05301 | 2016-07-06 |
| 1326413899 | Gabriella Neacsu Katz | Nurse Practitioner | 1860 Weatherhead Hollow Rd, Guilford, VT 05301 | 2015-12-09 |
| 1942608914 | Kathryn Peterson | Registered Nurse | 105 Winter St Apt 2, Brattleboro, VT 05301 | 2014-12-08 |
| 1558762823 | Saryn T Lauzon | Registered Nurse | 2 Maplewood Drive, Brattleboro, VT 05301 | 2014-09-05 |
| 1912248691 | Robert Joseph Stack | Counselor | 1 Linden Street, Brattleboro, VT 05301 | 2013-03-06 |
| 1053651760 | Christopher M. Deszynski | Naturopath | 73 Main St Ste 4, Brattleboro, VT 05301 | 2013-02-18 |
| 1518236355 | Christine Hamrin | Licensed Practical Nurse | 54 Spruce Street, Brattleboro, VT 05301 | 2011-12-23 |
| 1881924934 | Margrit C. Mikulis | Naturopath | 147 Orchard St, Brattleboro, VT 05301 | 2010-01-12 |
| Find all providers in zip 05301 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881099950 | Philip Laplante | Psychiatry & Neurology | 1 Anna Marsh Lane, Brattleboro, VT 05302 | 2014-10-30 |
| 1396006698 | Robin K. Caron | Psychiatry & Neurology | Anna Marsh Lane, Brattleboro, VT 05302 | 2012-06-04 |
| 1407147564 | Milangel Thaymee Concepcion Zayas | Psychiatry & Neurology | 1 Anna Marsh Lane, Brattleboro Retreat- Anna Marsh Behavioral Care Clinic, Brattleboro, VT 05302 | 2011-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932237294 | Genevieve Anne Williamson | Psychiatry & Neurology | 6393 Route 7, North Ferrisburgh, VT 05473-7122 | 2007-03-01 |
| 1023115599 | David Kirke Hedden | Psychiatry & Neurology | 708 Barstow Rd., Shelburne, VT 05482-6986 | 2006-09-19 |
| 1578528220 | Norton Garber | Psychiatry & Neurology | 227 Hickory Ridge Rd, Putney, VT 05346-8933 | 2006-04-18 |
| 1649698911 | Haley Mcgowan | Psychiatry & Neurology | 111 Colchester Ave, Burlington, VT 05401-1473 | 2014-04-02 |
| 1386905032 | Alan Joseph Frascoia | Psychiatry & Neurology | 289 County Rd, Windsor, VT 05089-9000 | 2012-05-30 |
| 1144529611 | Margaret Spottswood | Psychiatry & Neurology | 617 Riverside Ave, Burlington, VT 05401-1601 | 2011-03-22 |
| 1235250499 | Jeanne Ellyn Greenblatt | Psychiatry & Neurology | 108 Cherry St, Burlington, VT 05401-4295 | 2007-04-03 |
| 1366561904 | Robin Lessoff | Psychiatry & Neurology | 4185 St George Rd, Williston, VT 05495-7695 | 2007-03-28 |
| 1417023573 | Gian Paolo Bentivoglio | Psychiatry & Neurology | 154 Duchess Ave, Northeast Kingdom Human Services, Newport, VT 05855-5516 | 2006-11-28 |
| 1528154697 | John G Koutras | Psychiatry & Neurology | 1 S Prospect St, Burlington, VT 05401-3456 | 2006-10-05 |
| Find all providers with the same taxonomy | ||||
| City | BRATTLEBORO |
| Zip Code | 05301 |
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| 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.