Allen Ross, PHD – Cognitive & Behavioral Psychologist

Key facts

NPI: 1366495624
Entity type: Individual (NPI type 1)
Primary specialty: Cognitive & Behavioral Psychologist 103TB0200X
License: 048-0000238 (VT)
Practice address: Anna Marsh Lane
Brattleboro, VT 05302
Phone: (802) 257-7785
NPI assigned: May 18, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Brattleboro Retreat Institutional Pharmacy · Brattleboro, VT · NPI 1295947950

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Philosophy

State licenses

License	State	Type	Specialty
048-0000238	VT	MD	Cognitive & Behavioral Psychologist

Practice roles

Organization	Specialty	Status	New patients
Brattleboro Retreat		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Cognitive & Behavioral Psychologist	103TB0200X	048-0000238	VT	Yes

Addresses

Primary practice location

Anna Marsh Lane
Brattleboro, VT 05302

Mailing address

Anna Marsh Lane
Brattleboro, VT 05302
Phone (802) 257-7785

Other identifiers

Identifier	Type	State	Issuer
0002637	Medicaid	VT

Other providers in Brattleboro, VT

All providers in Brattleboro, VT · Cognitive & Behavioral Psychologist in Vermont

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2009. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.