Individual provider Active NPI

Robert Martin Duwors, PHD

  • Clinical Psychologist
  • Colchester, VT
National Provider Identifier
1942360342
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
048.0074176 Issued in VT
Practice address
162 Hegeman Ave Ste 106
Colchester, VT 05446-3109
Phone
(802) 876-7613
Fax
(802) 876-7813
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY671 RI
Clinical Psychologist 103TC0700X 048.0074176 VT Primary

Addresses

Primary practice location

162 Hegeman Ave Ste 106
Colchester, VT 05446-3109

Mailing address

91 Captain Carltons Road
Cotuit, MA 02635
Phone (508) 420-2288

Other practice location 1

1061 Fish Rd
Tiverton, RI 02878-3103
Phone (401) 624-9981

Other identifiers 2

IdentifierTypeStateIssuer
189757OtherMAGELLAN
P04750OtherMABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, RI, VT3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20051109000610 HI Practitioner - Clinical Psychologist 0345279444 Reassigns benefits to 1 organization
I20120423000422 RI Practitioner - Clinical Psychologist 0345279444 Practice locations: East Greenwich, RI
I20130712000419 VT Practitioner - Clinical Psychologist 0345279444 Practice locations: Colchester, VT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1440 Kapiolani Blvd
Suite 1200
Honolulu, HI 96814-3608
Phone (808) 292-7001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY671RIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert M Duwors Incorporated Psychologist CurrentSince Nov 10, 2024 Accepting new patients
New England Forensic Assessment Clinical CurrentSince Jul 17, 2021 Accepting new patients
Mashpee Mental Health Center, Inc. PastSince Sep 1, 2005 Accepting new patients

Locations

603 E Fort King St
Ocala, FL 34471
Phone (352) 704-1704

1440 Kapiolani Blvd
Ste 1200
Honolulu, HI 96814
Phone (808) 292-7001

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1942360342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 CAPTAIN CARLTONS ROAD",
            "city": "COTUIT",
            "state": "MA",
            "postal_code": "02635",
            "telephone_number": "508-420-2288",
            "fax_number": "508-477-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 HEGEMAN AVE STE 106",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054463109",
            "telephone_number": "802-876-7613",
            "fax_number": "802-876-7813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1061 Fish Rd",
            "address_purpose": "LOCATION",
            "city": "Tiverton",
            "state": "RI",
            "postal_code": "028783103",
            "country_code": "US",
            "telephone_number": "401-624-9981",
            "fax_number": "508-477-9334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUWORS",
        "first_name": "ROBERT",
        "middle_name": "MARTIN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "RI",
            "license": "PSY671",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "048.0074176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "189757",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "P04750",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colchester, VT

Sources for this page

Verify at the official NPI Registry.