MRS. KIMBERLY ANN RIDER (NPI# 1700103157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700103157 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY ANN RIDER |
| Credential | M.S |
| Practice Address |
1085 Us Route 4 E Suite 2a Rutland VT 05701-8860 |
| Practice Telephone | 8027756331 |
| Practice Fax Number | 8027756373 |
| Mailing Telephone | 8027756331 |
| Mailing Fax Number | 8027756373 |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2010-04-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 047,0057915 | VT | Behavioral Health & Social Service Providers |
| Street Address |
1085 US ROUTE 4 E SUITE 2A |
| City | RUTLAND |
| State | VT |
| Zip Code | 05701-8860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811443955 | The Inner Spiral | Counselor | 1085 Us Route 4 E, Vt Educational Support Associates, Rutland, VT 05701-8860 | 2016-08-29 |
| 1881038693 | Vermont Educational Support Associates, Inc. | Psychologist | 1085 Us Route 4 E, Suite 2a, Rutland, VT 05701 | 2013-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639721186 | All Dimensions Primary Care Pllc | Physician Assistant | 92 Allen Street, Rutland, VT 05701 | 2019-07-15 |
| 1962809053 | Laura Kalinen Laprise | Nurse Practitioner | Rutland Community Health Center, 215 Stratton Road, Rutland, VT 05701 | 2014-12-04 |
| 1962818781 | Andrea Louise Welch | Pharmacist | 1 Rutland Shopping Plaza, Rutland, VT 05701 | 2014-07-02 |
| 1396158903 | Gwendolyn Koenig | Counselor | 78 South Main St., Rutland, VT 05701 | 2014-06-11 |
| 1194088195 | Marcie Bouchard | Early Intervention Provider Agency | 24a East Street, Rutland, VT 05701 | 2012-06-25 |
| 1790047009 | Pamela Lenoci | Massage Therapist | 196 Joshua Place, Rutland, VT 05701 | 2012-06-12 |
| 1528339959 | Deborah E. Boston | Social Worker | 128 Merchants Row Ste 510, Rutland, VT 05701 | 2012-01-17 |
| 1235431834 | Alicia Marie Riesterer | Occupational Therapy Assistant | 46 Nichols St., Rutland Healthcare and Rehabilitation Center, Rutland, VT 05701 | 2010-12-02 |
| 1497085401 | Lauren Ann Lasante | Counselor | 198 N Main St Ste C-5, Rutland, VT 05701 | 2010-01-14 |
| 1568692515 | Steven C. Duboff, Dmd, PC | Dentist | 198 North Main St, Rutland, VT 05701 | 2009-07-23 |
| Find all providers in zip 05701 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265623581 | J David Egner | Psychologist | 37 1/2 Center St, Rutland, VT 05701-4016 | 2007-08-05 |
| 1295893071 | Michael Flanagan | Psychologist | 92 Allen St Ste 4, Rutland, VT 05701-4562 | 2006-12-05 |
| 1427083591 | Franklin Goodkin | Psychologist | 44 Engrem Ave, Rutland, VT 05701-4519 | 2006-07-11 |
| 1346290475 | Barbara Myril Darshan | Psychologist | 56 1/2 Merchants Row, Suite 203, Rutland, VT 05701-5907 | 2006-05-11 |
| 1881038693 | Vermont Educational Support Associates, Inc. | Psychologist | 1085 Us Route 4 E, Suite 2a, Rutland, VT 05701 | 2013-04-23 |
| 1639417017 | Michael Robert Dorr | Psychologist | 11 Court Sq, Rutland, VT 05701-4030 | 2013-01-20 |
| 1831234087 | Patricia Joyce Noll | Psychologist | 29 Madison St, Rutland, VT 05701 | 2007-02-21 |
| 1518058585 | Michael D Caulin | Psychologist | 1085 Us Rte 4e, Ste 2a, Rutland, VT 05201 | 2006-09-27 |
| 1427156926 | Douglas Steven Andrews | Psychologist | 73 Center St, Rutland, VT 05701-4046 | 2006-09-20 |
| 1952312373 | Gary Wayne Watulak | Psychologist | 26 Cottage St, Rutland, VT 05701-3404 | 2006-08-10 |
| Find all providers in RUTLAND | ||||
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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.