Behavioral Medicine – Cognitive & Behavioral Psychologist, NPI 1851349484
Cognitive & Behavioral Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Behavioral Medicine
1878 Mountain Rd
Stowe, VT 056724776
Phone: (802) 888-8320
Fax: (802) 888-8136
Type: Location
609 Washington Hwy
Morrisville, VT 056618652
Phone: (802) 888-5639
Fax: (802) 888-6040
Type: Location
607 WASHINGTON HWY
MORRISVILLE, VT 056618652
Phone: (802) 888-8320
Fax: (802) 888-8136
Type: Location
749, Keystone Park Drive, Morrisville, Durham County, North Carolina, 27560, United States
MORRISVILLE, VT 056610749
Phone: (802) 851-8619
Fax: (802) 851-8716
Type: Mailing
65, Northgate Plaza, Morristown, Lamoille County, Vermont, 05661, United States
SUITE 11
MORRISVILLE, VT 056615900
Phone: (802) 888-8320
Fax: (802) 888-8136
Type: Location
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: 2006-06-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation due soon
Earliest CMS due date is 2026-06-30 (18 days away).
Enrollment records
2
Earliest due date
2026-06-30
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 |
|---|---|---|---|---|
| O20040216000714 | O | Clinic/Group Practice | VT | TBD |
| O20060626000327 | O | Federally Qualified Health Center (Fqhc) | VT | 2026-06-30 |
What to do next
- Confirm the due date on the CMS Revalidation Lookup Tool.
- Complete revalidation in PECOS before the published due date.
- If you have multiple enrollment records, revalidate each one on its own schedule.
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 05672)
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