Lisa Angstman, PH.D.
Individual provider Active NPI Clinical Psychologist · Williston, VT
NPI 1104924265 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104924265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 0480000514 (VT)
- Practice address
- 4185 St George Rd
Williston, VT 05495-7695 - Phone
- (802) 879-5333
- Fax
- (802) 879-5335
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4185 St George Rd
Williston, VT 05495-7695
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060405000435 | VT | Practitioner - Clinical Psychologist | 7315955192 | Practice locations: Williston, VT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0480000514 | VT | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0480000514 | VT | Yes |
Addresses
Primary practice location
4185 St George Rd
Williston, VT 05495-7695
Mailing address
4185 St George Rd
Williston, VT 05495-7695
Phone (802) 879-5333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003405 | Medicaid | VT |
Other providers in Williston, VT
- David Scott Allan
- Allen Brook Comprehensive Dental, P.L.C
- Amanda Cannamela LLC
- Tess Andrade
- Ashleigh Angle
- Victoria A Ard
- Brian Kelly Ashley
- Associates in Physical and Occupational Therapy
- Augmentative Learning and Movement Center, LLC
- Shawn Babich
All providers in Williston, VT · Clinical Psychologist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.