NPPES file of Aug 9, 2026

Lisa M. Pezzulich, PSY.D.

Clinical Psychologist · Bennington, VT

Lisa M. Pezzulich, PSY.D. is a clinical psychologist with a practice address in Bennington, Vermont, and NPI 1417040767, issued on Oct 1, 2006. Check the license (Vermont 048-0000729, as entered in NPPES) with the Vermont board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1417040767
Name
Lisa M. Pezzulich
Credential
PSY.D.
Primary taxonomy
Clinical Psychologist 103TC0700X
License number
048-0000729 VT
Self-reported in NPPES; status is on the state search
Practice location
160 Benmont Ave, Bennington, VT 05201
Phone
(802) 442-3520
Enumerated
Oct 1, 2006
Record last updated
Jul 22, 2010 (not updated in 16 years: call before relying on the address or phone)
Fax
(802) 447-3392
Medicaid ID
OVN1922 VT
Medicare enrollment
Enrolled (PECOS I20080811000570); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest clinical psychologist records → All 311 in Vermont → Look up another NPI →

Also registered at 160 Benmont Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Bernard Bandman, PH.D.Clinical Psychologist1013962315
  2. Andrew Beckerman, MSWClinical Social Worker1912007584
  3. Roberta Bennett, M.D.Psychiatry Physician1366512584
  4. Louise Binette, LCMHC, R-DMTMental Health Counselor1104238591
  5. Allison Bradley, LCMHC, PHDMental Health Counselor1427536200
  6. David Brown, PH.D.Clinical Psychologist1366553828

Verify Lisa M. Pezzulich in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Vermont board licenses this profession
    Search for license 048-0000729    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Vermont license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Mindful Solutions PLLCBennington, VT

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Lisa M. Pezzulich among 311 clinical psychologist records in Vermont

Lisa M. Pezzulich, PSY.D. is one of 311 clinical psychologist records with a practice address in Vermont. 9% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 2% of them.

  • NPI issued2006 · 2% of these records are older, 63% newer
  • In a Medicare fileYes · 9% of these records are
  • In the CMS Doctors and Clinicians fileYes · 35% of these records are
  • Graduated1997 · median 1998 among the 110 with a school on file
  • Record last updated2010 · 74% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Vermont practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

11 clinical psychologist records list a practice address in Bennington

They are 11 of the 507 NPPES records with a practice address in Bennington, and 311 clinical psychologist records in Vermont.

All 311 in Vermont → Every provider in Bennington → Clinical Psychologist nationwide →

The 8 clinical psychologist records with the nearest ZIP codes

  1. Bernard Bandman, PH.D.Bennington, VT 052011013962315
  2. David Brown, PH.D.Bennington, VT 052011366553828
  3. Scott Burg, M.A.Bennington, VT 052011376086280
  4. Jennifer Burgoon, PHD,Bennington, VT 052011144343054
  5. Leslie Glazer, PH.D. LMHCBennington, VT 052011801911805
  6. Marjorie Larowe, PH.D.Bennington, VT 052011225178775
  7. David Mellinger, PSY.D.Bennington, VT 052011700851722
  8. Kristen Munson, PSY.D.Bennington, VT 052011407185788

Common questions

What is Lisa M. Pezzulich, PSY.D.'s NPI number?

Lisa M. Pezzulich, PSY.D.'s National Provider Identifier (NPI) is 1417040767, issued on Oct 1, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Lisa M. Pezzulich, PSY.D. located?

The NPPES record lists a practice address at 160 Benmont Ave, Bennington, VT, 05201. Phone: (802) 442-3520. Providers update this record themselves, so call before visiting.

How can I verify Lisa M. Pezzulich, PSY.D.'s license?

NPPES lists Vermont license number 048-0000729, as entered by the provider. Search the Vermont board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.