Active NPI
Martin James Fino, PH.D.
- Clinical Psychologist
- Rutland, VT
National Provider Identifier
1053408518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 048-0000760
- Practice address
- 73 Center St
Rutland, VT 05701-4046 - Phone
- (802) 775-3600
- Fax
- (802) 775-2954
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 048-0000760 | VT | Primary |
Addresses
Primary practice location
73 Center St
Rutland, VT 05701-4046
Mailing address
73 Center St
Rutland, VT 05701-4046
Phone (802) 775-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0VN2449 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048-0000760 | VT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184716800000",
"number": "1053408518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 CENTER ST",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014046",
"telephone_number": "802-775-3600",
"fax_number": "802-775-2954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 CENTER ST",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014046",
"telephone_number": "802-775-3600",
"fax_number": "802-775-2954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINO",
"first_name": "MARTIN",
"middle_name": "JAMES",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VT",
"license": "048-0000760",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0VN2449",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rutland, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.