1. Home
  2. Directory
  3. Vermont
  4. Bennington
  5. Psychologist
  6. NPI Profile

MARY JEAN SADLAK PHD PC
NPI 1013301324
Psychologist - Clinical in Bennington, VT

Active since March 25, 2015
160 BENMONT AVE, SUITE 20, BENNINGTON, VT 05201(802) 442-3520(802) 447-3392 Get Directions Write a Review

NPPES record last updated: December 23, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mary Jean Sadlak Phd Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY JEAN SADLAK PHD PC (NPI 1013301324) is a healthcare organization registered as a clinical in Bennington, Vermont and active in the NPI registry since March 2015. The organization lists Mary Jean Sadlak, Owner, as its authorized official.

NPPES Registry Identity

NPI1013301324
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMARY JEAN SADLAK PHD PC
Location Address160 BENMONT AVE, SUITE 20Bennington, VT 05201-1873
Mailing Address160 Benmont Ave, Suite 20Bennington, VT 05201-1873 · (802) 442-3520 · Fax (802) 447-3392
Phone(802) 442-3520
Fax(802) 447-3392
Organization SubpartNo
Authorized OfficialMary Jean SadlakOwner · (802) 442-3520
Enumeration DateMarch 25, 2015
Last NPPES UpdateDecember 23, 2015
✔ NPI 1013301324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in VT · 048.0000505
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
160 BENMONT AVE, Bennington, VT 05201
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Jean Sadlak Phd Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mary Jean Sadlak Phd PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mary Jean Sadlak, PH.D.
Clinical Psychologist
NPI 1659435147
160 BENMONT AVE SUITE 20
Bennington, VT 05201
(802) 442-3520
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Jean Sadlak Phd PC's NPI number?

The NPI number for Mary Jean Sadlak Phd PC is 1013301324. It was assigned to this organization in the NPPES registry on March 25, 2015.

Where is Mary Jean Sadlak Phd PC located?

Mary Jean Sadlak Phd PC is located at 160 Benmont Ave Suite 20, Bennington, VT 05201. The listed phone number is (802) 442-3520.

What is Mary Jean Sadlak Phd PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Mary Jean Sadlak Phd PC enrolled in Medicare?

Yes. Mary Jean Sadlak Phd PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mary Jean Sadlak Phd PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Mary Jean Sadlak Phd PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mary Jean Sadlak Phd PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Mary Jean Sadlak Phd PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Jean Sadlak Phd PC was last updated on December 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.