Judith Vanderryn, PH.D.
NPI 1760587323ActiveIndividual· Psychologist, Clinical· South Burlington, VT
Psychologist, Clinical (PH.D.) in South Burlington, Vermont, licensed in VT and CO, with an NPI issued in September 2006. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1760587323 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Sep 14, 2006 |
| Last updated in NPPES | Jan 8, 2024 |
| Certified by provider | Jan 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 048.0134642 | VT |
| Psychologist, Clinical | 103TC0700X | 2051 | CO |
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 | 1993 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
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All 22 clinical psychologists in South Burlington · All clinical psychologists in Vermont