DR. BENJAMIN STILLMAN PSY.D.
NPI 1457627812
Psychologist - Clinical in Manchester Center, VT

Q: What is Benjamin Stillman's NPI number?

The NPI number for Benjamin Stillman is 1457627812. It was assigned to this individual provider in the NPPES registry on March 29, 2012.

Q: What is Benjamin Stillman's specialty?

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

Q: Is Benjamin Stillman enrolled in Medicare?

No. Benjamin Stillman has opted out of Medicare through May 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Stillman was last updated on December 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 29, 2012Opted out of Medicare · through May 7, 2028

4697 MAIN ST, MANCHESTER CENTER, VT 05255(802) 768-9136(802) 662-2173 Get Directions Write a Review

NPPES record last updated: December 4, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Dr. Benjamin Stillman Psy.d. NPPES

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

DR. BENJAMIN STILLMAN PSY.D. (NPI 1457627812) is an individual clinical provider in Manchester Center, Vermont, licensed in Vermont (048.0134146) and active in the NPI registry since March 2012. He has opted out of Medicare through May 7, 2028.

NPPES Registry Identity

NPI1457627812

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. BENJAMIN STILLMANCredential: PSY.D.

Location Address4697 MAIN STManchester Center, VT 05255-8916

Mailing Address365 West Rd Ste 150Manchester Center, VT 05255-6308 · (802) 491-7645

Phone(802) 768-9136

Fax(802) 662-2173

Sole ProprietorNo

Enumeration DateMarch 29, 2012

Last NPPES UpdateDecember 4, 2022

NPPES CertifiedDecember 4, 2022

✔ NPI 1457627812 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 · 048.0134146

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.

4697 MAIN ST, Manchester Center, VT 05255

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Benjamin Stillman Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 7, 2022 through May 7, 2028.

Opt-Out Effective DateMay 7, 2022

Opt-Out In Effect ThroughMay 7, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

EMMA WOOD MS, LMFT

Marriage & Family Therapist

4697 MAIN ST
MANCHESTER CENTER, VT 05255

Bennington County (802) 768-1289

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 Benjamin Stillman's NPI number?

The NPI number for Benjamin Stillman is 1457627812. It was assigned to this individual provider in the NPPES registry on March 29, 2012.

Where is Benjamin Stillman located?

Benjamin Stillman practices at 4697 Main St, Manchester Center, VT 05255. The listed phone number is (802) 768-9136.

What is Benjamin Stillman's specialty?

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

Is Benjamin Stillman enrolled in Medicare?

No. Benjamin Stillman has opted out of Medicare through May 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Benjamin Stillman was last updated on December 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.