Lisa Pezzulich, PSY.D.
NPI 1417040767 · Clinical Psychologist · Bennington, VT
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lisa Pezzulich, PSY.D. is a Clinical Psychologist provider in Bennington, VT (NPI 1417040767).
Provider details
- NPI number
- 1417040767
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 048-0000729 (VT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-01
- Last updated
- 2010-07-22
Frequently asked questions
- What is Lisa Pezzulich's NPI number?
- Lisa Pezzulich's National Provider Identifier (NPI) is 1417040767, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Pezzulich's specialty?
- Lisa Pezzulich is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Lisa Pezzulich located?
- Lisa Pezzulich's practice location on file with NPPES is 160 Benmont Ave, Bennington, VT 05201-1873.
- What is Lisa Pezzulich's phone number?
- The practice phone number listed in the NPPES registry for Lisa Pezzulich is (802) 442-3520.
- Does Lisa Pezzulich accept Medicare?
- Lisa Pezzulich is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lisa Pezzulich's NPI active?
- Yes — Lisa Pezzulich's NPI (1417040767) is active in the NPPES registry as of the last update on 2010-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.