Active NPI
Robert Martin Duwors, PHD
- Clinical Psychologist
- Colchester, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 048.0074176
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 189757 | Other | MAGELLAN | |
| P04750 | Other | MA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI, RI, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY671 | RI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert M Duwors Incorporated | Psychologist | Current | Accepting new patients |
| New England Forensic Assessment | Clinical | Current | Accepting new patients |
| Mashpee Mental Health Center, Inc. | Past | 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.
-
- Clinical Neuropsychologist
- Colchester, VT
- NPI 1821669805
-
- Community/Behavioral Health Agency
- Mashpee, MA
- NPI 1790844843
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.