Active NPI
Laura Anne Basili, PH.D.
- Health Psychologist
- Middlebury, VT
National Provider Identifier
1164544516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Psychologist
- License
- #863
- Practice address
- 135 S Pleasant St
Middlebury, VT 05753-1479 - Phone
- (802) 989-8976
- NPI assigned
- Apr 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | #863 | VT | |
| Family Psychologist | 103TF0000X | #863 | VT | |
| Health Psychologist | 103TH0004X | #863 | VT | Primary |
Addresses
Primary practice location
135 S Pleasant St
Middlebury, VT 05753-1479
Mailing address
239 Cider Mill Rd
Cornwall, VT 05753-8675
Phone (802) 989-8976
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 069001 | Other | VA | VALUE OPTIONS |
| 1012427 | Medicaid | VT | |
| 4149537 | Other | VT | MVP HEALTH CARE |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #863 | VT | MD | Family Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1164544516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 CIDER MILL RD",
"city": "CORNWALL",
"state": "VT",
"postal_code": "057538675",
"telephone_number": "802-989-8976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 S PLEASANT ST",
"city": "MIDDLEBURY",
"state": "VT",
"postal_code": "057531479",
"telephone_number": "802-989-8976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASILI",
"first_name": "LAURA",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-05",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "VT",
"license": "#863",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "VT",
"license": "#863",
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "VT",
"license": "#863",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "069001",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1012427",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTH CARE",
"identifier": "4149537",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Middlebury, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.