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Phoenix Psychotherapy LLC

Psychologist in South Burlington, VT · enumerated 2013 · authorized official Judith Vanderryn, Owner/Sole Proprietor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114348166

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Registry record

Entity type Organization (Type 2)
Legal business name Phoenix Psychotherapy LLC
Practice address 595 Dorset St Ste 2, South Burlington, VT, 05403
Fax (802) 651-8997
Enumeration date Dec 18, 2013
Last updated in NPPES Dec 18, 2023

Taxonomy & classification

103T00000X Psychologist Behavioral Health & Social Service Providers · License 2051 (CO) Primary

Authorized official

Name Judith Vanderryn
Title Owner/Sole Proprietor

Other identifiers

Identifier Type State Issuer
1760587323 Other CO INDIVIDUAL NPI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Phoenix Psychotherapy LLC?
Phoenix Psychotherapy LLC is registered in NPPES as a Psychologist (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-12-18.