Mary Pat Mazzola, PSYCHOLOGIST-MA
NPI 1457360877ActiveIndividual· Psychologist, Counseling· Bennington, VT
Psychologist, Counseling (PSYCHOLOGIST-MA) in Bennington, Vermont, licensed in VT, with an NPI issued in August 2006. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1457360877 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYCHOLOGIST-MA |
| Sole proprietor | Yes |
| NPI issued | Aug 5, 2006 |
| Last updated in NPPES | Jun 13, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | 047-0000645 | VT |
| Psychologist | 103T00000X | 047-0000645 | VT |
| Psychologist, Adult Development & Aging | 103TA0700X | 047-0000645 | VT |
| Psychologist, Cognitive & Behavioral | 103TB0200X | 047-0000645 | VT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (VT) |
|---|
Education and affiliations
| Graduation year | 1992 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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