DR. LAURA ANNE BASILI (NPI# 1164544516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164544516 |
| Entity Type | Individual |
| Full Name | DR. LAURA ANNE BASILI |
| Credential | PH.D. |
| Practice Address |
135 S Pleasant St Middlebury VT 05753-1479 |
| Mailing Address |
239 Cider Mill Rd Cornwall VT 05753-8675 |
| Practice Telephone | 8029898976 |
| Mailing Telephone | 8029898976 |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
#863 | VT | Behavioral Health & Social Service Providers |
| X | 103TF0000X |
Psychologist Specialization: Family |
#863 | VT | Behavioral Health & Social Service Providers |
| X | 103TH0004X |
Psychologist Specialization: Health |
#863 | VT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1012427 | 05 | |
| VA | VALUE OPTIONS | 069001 | 01 |
| VT | MVP HEALTH CARE | 4149537 | 01 |
| Street Address |
135 S PLEASANT ST |
| City | MIDDLEBURY |
| State | VT |
| Zip Code | 05753-1479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104903319 | Mary Ann Dattilo Boyd | Social Worker | 135 S Pleasant St, Middlebury, VT 05753-1479 | 2006-11-01 |
| 1578125696 | Hope Martin, Lcmhc, Pllc | Counselor | 135 S Pleasant St, Middlebury, VT 05753-4456 | 2019-06-29 |
| 1568641496 | Mary Ann Dattilo Boyd Pllc | Social Worker | 135 S Pleasant St, Middlebury, VT 05753-4456 | 2007-10-27 |
| 1275695058 | Elizabeth Mccracken | Social Worker | 135 S Pleasant St, Middlebury, VT 05753-4456 | 2006-12-15 |
| 1568523454 | Kristin Mitchell | Social Worker | 135 S Pleasant St, Middlebury, VT 05753-4456 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760997233 | Julia M. Pipiras | Massage Therapist | 99 Maple St., Marble Works, Middlebury, VT 05753 | 2017-12-06 |
| 1487017117 | Hope W Martin | Counselor | 135 South Pleasant St., Middlebury, VT 05753 | 2016-03-31 |
| 1487052593 | Ania Mortier | Nurse Practitioner | 102 A Court St, Middlebury, VT 05753 | 2014-12-06 |
| 1427471655 | Nancy Spears | Counselor | 7 Seymour St Ste 4, Middlebury, VT 05753 | 2014-01-23 |
| 1679862676 | Daly Dental | Dentist | 152 Maple Street, Suite 201, Middlebury, VT 05753 | 2011-03-31 |
| 1033432695 | James G Daly D.d.s. | Dentist | 152 Maple St., Ste. 201, Middlebury, VT 05753 | 2010-03-10 |
| 1497986855 | Maxine Elizabeth Fidler | Acupuncturist | 31 Court Street, Middlebury, VT 05753 | 2009-08-04 |
| 1629289426 | Gary Francis Margolis | Psychologist | 302 Centeno House Route 30, Middlebury, VT 05753 | 2007-05-24 |
| 1578697884 | Elise Marie Mcclintock | Nurse Practitioner | 5110 Middlebury College, Middlebury, VT 05753 | 2007-03-16 |
| 1982735890 | Adam Brightman | Social Worker | 1740 Delong Road, Cornwall, VT 05753 | 2007-03-09 |
| Find all providers in zip 05753 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538290523 | Mark Carpenter Mumford | Psychologist | Counseling Service of Addison County,inc., 89 Main Street, Middlebury, VT 05753 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497931992 | Vermont Psychological Solutions, Plc | Psychologist | 1 Kennedy Dr Ste U8, South Burlington, VT 05403-7166 | 2008-01-14 |
| 1255481529 | Allen Moulton | Psychologist | 234 Maple St, Stowe, VT 05672-4248 | 2007-01-11 |
| 1093877300 | Susie Elizabeth Caron | Psychologist | 325 Swamp Rd, Fairfax, VT 05454-9777 | 2006-12-14 |
| 1184735466 | David R Ritter | Psychologist | 14 S Williams St, Burlington, VT 05401-3400 | 2006-08-31 |
| 1134132053 | Robert Charles Hemmer | Psychologist | 5271 Main St, Manchester Center, VT 05255-9776 | 2006-08-14 |
| 1114983939 | Clifford Miles Karmiohl | Psychologist | 22 Patchen Rd, South Burlington, VT 05403-5704 | 2006-04-21 |
| 1740798453 | Pamela Swift | Psychologist | 1 S Prospect St, Burlington, VT 05401-3456 | 2018-01-16 |
| 1669990529 | Charles R. Myers | Psychologist | 30 Airport Rd, South Burlington, VT 05403-6432 | 2017-08-31 |
| 1497172704 | Amy Paysnick | Psychologist | 12 Pearl St, Essex Junction, VT 05452-3604 | 2014-03-25 |
| 1295056356 | K and L Associates | Psychologist | 160 Benmont Ave, Bennington, VT 05201-1873 | 2010-06-11 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLEBURY |
| Zip Code | 05753 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.