Active NPIIndividual provider

Dr. Benjamin Stillman, PSYD

Psychologist, Clinical in Manchester Center, Vermont

NPI Number1457627812
Practice location
4697 Main St, Manchester Center, VT 05255-8916
Fax
802-662-2173
Last updated
December 4, 2022

Benjamin Stillman is a Psychologist, Clinical based in Manchester Center, VT. Benjamin Stillman practices in Manchester Center, VT and has the professional credentials of PSYD. The NPI Number for Benjamin Stillman is 1457627812 and holds a License No. 048.0134146 (VT). The current practice location address for Benjamin Stillman is 4697 Main St, Manchester Center, VT 05255-8916 and can be reached out via phone at 802-768-9136 and via fax at 802-662-2173.

Provider Profile Details

NPI Number
1457627812
Provider Name
Benjamin Stillman
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
4697 Main St, Manchester Center, VT 05255-8916
Phone Number
802-768-9136
Fax Number
802-662-2173
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
March 29, 2012
Last Update Date
December 4, 2022
Certification Date
December 4, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
4697 Main St
Manchester Center, VT 05255-8916
State
Vermont
Zip
05255-8916
Phone Number
802-768-9136
Fax Number
802-662-2173
Manchester Center, VT 05255Get directions →

Provider Business Mailing Address Details

Address
365 West RD Ste 150
Manchester Center, VT 05255-6308
City
Manchester Center
State
VT
Zip
05255-6308
Phone Number
802-491-7645

License Information

License Number
048.0134146
License State
VT
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Benjamin Stillman, PSYD?

The NPI number of Dr. Benjamin Stillman, PSYD is 1457627812. It was assigned on March 29, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Benjamin Stillman, PSYD?

Dr. Benjamin Stillman, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in VT under license number 048.0134146.

Where does Dr. Benjamin Stillman, PSYD practice?

The practice location is 4697 Main St, Manchester Center, VT 05255-8916. The office can be reached at 802-768-9136 (phone) or 802-662-2173 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457627812 directly on the NPPES registry website.

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