ROBYN KERVICK PHD NPI 1417158288

NPI Information

NPI: 1417158288
Provider Name: ROBYN KERVICK, PHD
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
790 COLLEGE PKWY
COLCHESTER, VT
ZIP 05446
Phone: (802) 847-3634
Get Directions

Robyn Kervick, PHD is a clinical neuropsychologist in Colchester, VT with 21 years of experience. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. Robyn Kervick, PHD NPI is 1417158288. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

790 COLLEGE PKWY
COLCHESTER, VT
ZIP 05446-007
Phone: (802) 847-3634

The NPI 1417158288 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Power Mobility Devices.

The enumeration date for this NPI number is 5/30/2007 and was last updated on 10/11/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103G00000X	Clinical Neuropsychologist		8520	MASSACHUSETTS	No
2	2084N0600X	Psychiatry & Neurology	Clinical Neurophysiology	048-0134257	VERMONT	No
3	103G00000X	Clinical Neuropsychologist		048-0134257	VERMONT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W06450	OTHER	MASSACHUSETTS	BLUE CROSS PROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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