Susan Elizabeth Lillich, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0480000823 Issued in VT

Practice address

183 Talcott Road
Suite 206
Williston, VT 05495

Phone

(802) 876-1100

Fax

(802) 876-1101

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447327143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 TALCOTT ROAD",
            "address_2": "SUITE 206",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "05495",
            "telephone_number": "802-876-1100",
            "fax_number": "802-876-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 TALCOTT ROAD",
            "address_2": "SUITE 206",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "05495",
            "telephone_number": "802-876-1100",
            "fax_number": "802-876-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLICH",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "0480000823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009536",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Christensen Lepporoli, PT
• Leslie Langevin Nutrition, PLLC
• Barbara B Lewis, MS
• Molly Mix Lewis, RPH
• Steve R. Lewis, PSY.D.
• Hercules Liotard, CMT
• Jason Lippman, MD
• Lisa Hardy, Aprn, PLLC (Optimind Mental Health & Wellness)
• Siyu Liu, PHARMD
• Alexander Lodge, MA

• Clinical Psychologist in Williston, VT
• Providers in Williston, VT by specialty
• Clinical Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.