DR. GARY ROY MARTIN (NPI# 1912063447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912063447 |
| Entity Type | Individual |
| Full Name | DR. GARY ROY MARTIN |
| Credential | MSW, PH.D. |
| Practice Address |
1 Pine St Burlington VT 05401-4422 |
| Mailing Address |
1539 Stage Road Richmond VT 05477 |
| Practice Telephone | 8028621511 |
| Practice Fax Number | 8028627059 |
| Mailing Telephone | 8024343745 |
| Mailing Fax Number | 8024343804 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | VT | Behavioral Health & Social Service Providers | |
| X | 103TF0200X |
Psychologist Specialization: Forensic |
VT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0005119 | 05 | |
| VT | BLUE CROSS BLUE SHIELD | 062-5119 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801927843 | Gary Martin | Pharmacist | 242 W Shamrock St, Building 1, Pineville, LA 71360 | 2007-03-09 |
| 1679507081 | Gary Christopher Martin | Dentist | 3101 Edwards Mill Rd Ste 109, Raleigh, NC 27612-5303 | 2006-07-10 |
| 1174579841 | Gary S. Martin | Chiropractor | 3499 Duluth Park Ln, Suite 110, Duluth, GA 30096-5714 | 2006-05-25 |
| 1982692257 | Gary A Martin | Psychologist | 916 W Seldon Ln, Phoenix, AZ 85021-4450 | 2005-10-11 |
| 1689818064 | Gary Martin | Military Health Care Provider | 811 Grier Dr, Las Vegas, NV 89119-3704 | 2009-04-29 |
| 1326126673 | Gary Dewayne Martin Jr. | Chiropractor | 14444 Dallas Pkwy, Suite 115, Dallas, TX 75254-8304 | 2006-11-02 |
| 1295821767 | Gary Victor Martin | Internal Medicine | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2006-10-04 |
| 1689779381 | Gary L Martin | Nurse Anesthetist, Certified Registered | 3500 E Frank Phillips Blvd, Jpmc Anesthesia Dept, Bartlesville, OK 74006-2411 | 2006-09-14 |
| 1609970730 | Gary Paul Martin | Dentist | 605 E 4th St, Marshfield, WI 54449-4519 | 2006-09-11 |
| 1356359756 | Gary Martin | Internal Medicine | 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546 | 2006-08-03 |
| Street Address |
1 PINE ST |
| City | BURLINGTON |
| State | VT |
| Zip Code | 05401-4422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428455 | Sarah Kulig | Counselor | 1 Pine St, Burlington, VT 05401-4422 | 2016-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626748 | John Henry Priester Jr. | Student in an Organized Health Care Education/Training Program | University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 | 2020-03-27 |
| 1730649054 | Parisa Heidari | Student in an Organized Health Care Education/Training Program | Uvmmc 111 Colchester Avenue, Burlington, VT 05401 | 2019-03-22 |
| 1689141988 | No Diet Dietitian, LLC | Dietitian, Registered | 163 Bayberry Circle #204, Burlington, VT 05401 | 2018-10-25 |
| 1073097267 | Katherine Dwyer | Physical Therapist | 128 Lakeside Ave, Burlington, Vt, 05401, Burlington, VT 05401 | 2018-09-24 |
| 1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
| 1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
| 1356845416 | Rachel Carlson | Student in an Organized Health Care Education/Training Program | Uvmmc, 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-22 |
| 1487152096 | Garnet Transport Medicine, LLC | Ambulance | 70 S Winooski Ave Ste 255, Burlington, VT 05401 | 2018-01-29 |
| 1689172660 | Valerie Goldberg | Dietitian, Registered | 163 Bayberry Circle Apt 204, Burlington, VT 05401 | 2018-01-25 |
| 1548774235 | Emily R Day | Physical Therapist | 160 Flynn Avenue, Burlington, VT 05401 | 2017-11-17 |
| Find all providers in zip 05401 | ||||
| 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 |
|---|---|---|---|---|
| 1124676853 | Towanda Geary | Psychologist | 1 Lawson Ln Ste 200c, Burlington, VT 05401-8445 | 2019-08-27 |
| 1891348645 | Amy Curtis | Psychologist | 35 King St Ste 8, Burlington, VT 05401-4787 | 2019-07-22 |
| 1700371416 | Emily Betz | Psychologist | 100 Main St Unit 8, Burlington, VT 05401-8475 | 2018-06-25 |
| 1851885305 | Angele Paul, Licensed Psychologist - Ma, P.l.c. | Psychologist | 86 Saint Paul St Ste 202, Burlington, VT 05401-4958 | 2018-06-19 |
| 1720578081 | Randall Matthew Dwyer | Psychologist | 6 Fred St, Burlington, MA 01803-4546 | 2018-05-12 |
| 1063902302 | Grace Janusis | Psychologist | 134 Bedford St, Burlington, MA 01803-2732 | 2018-05-12 |
| 1407375900 | Brian Kelly Ashley | Psychologist | 100 Main St Ofc 14, Burlington, VT 05401-8475 | 2017-09-15 |
| 1679950398 | Tara Mccuin | Psychologist | 111 Colchester Ave # Patrick4, Burlington, VT 05401-1473 | 2015-05-01 |
| 1194153130 | Ann Williams | Psychologist | 2521 Saintsbury Dr, Burlington, NC 27215-5699 | 2013-10-30 |
| 1679825335 | Shiquita Marie Graham Hyman | Psychologist | 1388 Falkirk Dr, Burlington, NC 27215-9863 | 2012-10-04 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 05401 |
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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.