OrganizationActive
Green Mountain Behavioral Medicine LLC
NPI 1992481568 · Psychiatry Physician · Burlington, VT
Provider details
- NPI number
- 1992481568
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joshua Schupp-Star, Owner/Physician Assistant(802) 230-1353
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
125 Saint Paul St Ste 103
Burlington, VT 05401-8686
Phone: (802) 216-0727
Fax: (802) 633-0956
Approximate (ZIP-level) locationGet directions
Mailing address
125 Saint Paul St Ste 103
Burlington, VT 05401-8686
Registry dates
- Enumerated
- 2023-06-27
- Last updated
- 2023-10-04
- Certified
- 2023-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.