LISA M. STEPHEN (PH.D.) – Clinical Psychologist, NPI 1699862342
Clinical Psychologist
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
169 CLINICAL PSYCHOLOGIST in VT
Provider Addresses for LISA M. STEPHEN (PH.D.)
145 Pine Haven Shores Rd Ste 2294
Shelburne, VT 054827703
Phone: (802) 355-9299
Fax: (802) 419-3399
Type: Location
Jericho, לוד הצעירה, Lod, Ramla Subdistrict, Center District, 7135287, Israel
JERICHO CTR, VT 054651034
Phone: (802) 355-9299
Fax: (802) 419-3399
Type: Mailing
89, Rye Circle, South Burlington, Chittenden County, Vermont, 05403, United States
SOUTH BURLINGTON, VT 054037632
Phone: (802) 355-9299
Fax: (802) 419-3399
Type: Location
PO BOX 302
JERICHO, VT 054650302
Phone: (802) 355-9299
Fax: (802) 419-3399
Type: Mailing
145 PINE HAVEN SHORES RD STE 2294
SHELBURNE, VT 054827703
Phone: (802) 876-1100
Fax: (802) 876-1101
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2016-02-11
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160211000794 | I | Clinical Psychologist | VT | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 05482)
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