GREEN MOUNTAIN PSYCHOTHERAPY PC NPI 1104522911

NPI Information

  • NPI: 1104522911
  • Provider Name: GREEN MOUNTAIN PSYCHOTHERAPY PC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 1233 SHELBURNE RD STE 460A
    SOUTH BURLINGTON, VT
    ZIP 05403
  • Phone: (802) 391-9137

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NPI Details

GREEN MOUNTAIN PSYCHOTHERAPY PC is an adult mental health clinic center in South Burlington, VT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. GREEN MOUNTAIN PSYCHOTHERAPY PC NPI is 1104522911. The provider is registered as an organization entity type.

The provider's business location address is:

1233 SHELBURNE RD STE 460A
SOUTH BURLINGTON, VT
ZIP 05403-780
Phone: (802) 391-9137

The provider's authorized official is Morgan Flagg .
The authorized official title is Owner and has the following contact phone number (203) 216-5641.

The enumeration date for this NPI number is 2/2/2023 and was last updated on 2/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
2261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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