DR. LISA M PEZZULICH PSY.D.
NPI 1417040767
Psychologist - Clinical in Bennington, VT

Q: What is Lisa Pezzulich's NPI number?

The NPI number for Lisa Pezzulich is 1417040767. It was assigned to this individual provider in the NPPES registry on October 1, 2006.

Q: What is Lisa Pezzulich's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Pezzulich was last updated on July 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since October 01, 2006PECOS EnrolledAccepts Medicare Assignment

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

NPPES record last updated: July 22, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Lisa M Pezzulich Psy.d. NPPES

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

DR. LISA M PEZZULICH PSY.D. (NPI 1417040767) is an individual clinical provider in Bennington, Vermont, licensed in Vermont (048-0000729) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1417040767

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. LISA M PEZZULICHCredential: PSY.D.

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

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateOctober 1, 2006

Last NPPES UpdateJuly 22, 2010

✔ NPI 1417040767 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 · 048-0000729

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

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Other Identifiers 2

MedicaidOVN1922VT

Medicare ID-Type UnspecifiedPEVN1922VT

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, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lisa M Pezzulich Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204918741

PECOS Enrollment IDI20080811000570

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.48 typical visit price

range $55.80 – $168.48

Typical copayment $42.12 (range $13.95 – $42.12)

Most-billed visit code 99205

Established Patient

$98.40 typical visit price

range $18.08 – $137.84

Typical copayment $24.60 (range $4.52 – $34.46)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY JEAN SADLAK PHD PC

Psychologist (Clinical)

160 BENMONT AVE, SUITE 20
BENNINGTON, VT 05201

Bennington County (802) 442-3520

BERNARD M BANDMAN PH.D.

Psychologist (Clinical)

160 BENMONT AVE
BENNINGTON, VT 05201

Bennington County (802) 447-0037

MRS. ANA LEA SILVESTRE ROSALES RN,CNS,PNP

Registered Nurse (Psychiatric/Mental Health, Adult)

160 BENMONT AVE
BENNINGTON, VT 05201

Bennington County (802) 442-3520

MS. GRACE BECKER WILSON LIC SW

Social Worker (Clinical)

160 BENMONT AVE
BENNINGTON, VT 05201

Bennington County (802) 379-4548

LOUISE S. BINETTE LCMHC, R-DMT

Counselor (Mental Health)

160 BENMONT AVE, SUITE 30
BENNINGTON, VT 05201

Bennington County (413) 884-3685

MR. THOMAS R LUSA RN.MS

Specialist

160 BENMONT AVE, STE. 24
BENNINGTON, VT 05201

Bennington County (413) 496-1831

MRS. LISA MARRIE WHITMAN RN, WCC

Registered Nurse (Home Health)

160 BENMONT AVE, SUITE 17
BENNINGTON, VT 05201

Bennington County (802) 447-4569

DR. MARJORIE C. LAROWE PH.D.

Psychologist (Clinical)

160 BENMONT AVE, SUITE 28
BENNINGTON, VT 05201

Bennington County (802) 442-2800

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 Lisa Pezzulich's NPI number?

The NPI number for Lisa Pezzulich is 1417040767. It was assigned to this individual provider in the NPPES registry on October 1, 2006.

Where is Lisa Pezzulich located?

Lisa Pezzulich practices at 160 Benmont Ave Suite 20, Bennington, VT 05201. The listed phone number is (802) 442-3520.

What is Lisa Pezzulich's specialty?

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

Is Lisa Pezzulich enrolled in Medicare?

Yes. Lisa Pezzulich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lisa Pezzulich accept?

Health plans from Anthem Blue Cross and Blue Shield list Lisa Pezzulich 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 Lisa Pezzulich was last updated on July 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.