DR. LISA ANGSTMAN (PH.D.) – Clinical Psychologist, NPI 1104924265

DR. LISA ANGSTMAN (PH.D.) is a healthcare provider. based in Williston, Vermont. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 0480000514 (VT). The NPI Number for DR. LISA ANGSTMAN (PH.D.) is 1104924265

Main info

Female
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA ANGSTMAN (PH.D.)
NPI
1104924265
Phone
(802) 879-5333
Address
4185 ST GEORGE RD
Enumeration Date
20 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8028795333
Graduation Year
1990 (36 years ago)
PAC ID
7315955192
Professional Enrollment ID
I20060405000435
Address ID
VT054957695WI4185XRDXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

169 CLINICAL PSYCHOLOGIST in VT

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Provider Addresses for DR. LISA ANGSTMAN (PH.D.)

  • 4185, Saint George Road, Williston, Chittenden County, Vermont, 05495, United States

    WILLISTON, VT 054957695

    Phone: (802) 879-5333

    Fax: (802) 879-5335

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-04-05

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060405000435IClinical PsychologistVTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour99231$0
90832Psychotherapy, 30 minutes14516$0
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Insurance plans in this area (ZIP 05495)

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Reviews

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Frequently asked questions

What federal number belongs to DR. LISA ANGSTMAN (PH.D.)?
The federal identifier for DR. LISA ANGSTMAN (PH.D.) is NPI 1104924265.
Does this profile mean DR. LISA ANGSTMAN (PH.D.) is currently active?
Yes — DR. LISA ANGSTMAN (PH.D.) appears active in the national provider directory.
Does DR. LISA ANGSTMAN (PH.D.) list a primary specialty?
If you are matching referrals, note Clinical Psychologist for DR. LISA ANGSTMAN (PH.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. LISA ANGSTMAN (PH.D.)?
The page summarizes Williston, Vermont for DR. LISA ANGSTMAN (PH.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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