Individual provider Active NPI

Dario J Lussardi, MA

  • Psychologist
  • Wilmington, VT
National Provider Identifier
1285679985
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
047-0000268 Issued in VT
Practice address
25 Coldbrook Rd
Wilmington, VT 05363-9624
Phone
(802) 464-5550
Fax
(802) 464-3657
NPI assigned
Jun 17, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 047-0000268 VT Primary

Addresses

Primary practice location

25 Coldbrook Rd
Wilmington, VT 05363-9624

Mailing address

25 Coldbrook Rd
Wilmington, VT 05363-9624
Phone (802) 464-5550

Other identifiers 2

IdentifierTypeStateIssuer
00002609OtherVTBLUE CROSS & BLUE SHIELD
0002609MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2016 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
047-0000268VTMDPsychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1285679985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 COLDBROOK RD",
            "city": "WILMINGTON",
            "state": "VT",
            "postal_code": "053639624",
            "telephone_number": "802-464-5550",
            "fax_number": "802-464-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 COLDBROOK RD",
            "city": "WILMINGTON",
            "state": "VT",
            "postal_code": "053639624",
            "telephone_number": "802-464-5550",
            "fax_number": "802-464-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSSARDI",
        "first_name": "DARIO",
        "middle_name": "J",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VT",
            "license": "047-0000268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "00002609",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002609",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, VT

Sources for this page

Verify at the official NPI Registry.