Organization · Type 2 NPI

Lifestance Health - Vermont, LLC dba Lifestance Health

Behavioral Neurology & Neuropsychiatry Physician · Winooski, VT

NPI number 1528998028 Active

Practice location

321 Main St Ste B
Winooski, VT 05404-1380

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed
Psychologist 103T00000XNone listed
Clinical Psychologist 103TC0700XNone listed
Marriage & Family Therapist 106H00000XNone listed
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401XNone listed
Behavioral Neurology & Neuropsychiatry Physician Primary 2084B0040XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Behavioral Neurology & Neuropsychiatry Physician: Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.

5 other providers at this address

About NPI 1528998028

Lifestance Health - Vermont, LLC dba Lifestance Health's National Provider Identifier is 1528998028, issued on May 19, 2026. The primary taxonomy on file is Behavioral Neurology & Neuropsychiatry Physician (2084B0040X), and the practice location is in Winooski, VT. The record was last updated on Sep 24, 2026.