Danielle Robillard D'Amico, PSY.D. – Psychologist

Key facts

NPI: 1679745707
Entity type: Individual (NPI type 1)
Primary specialty: Psychologist 103T00000X
License: 048-0000919 (VT)
Practice address: 111 Colchester Ave
Fahc - Psychological Services, Patrick 4
Burlington, VT 05401-1473
Phone: (802) 847-4923
Fax: (802) 847-8961
NPI assigned: Mar 28, 2008
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychologist	103T00000X	048-0000919	VT	Yes

Addresses

Primary practice location

111 Colchester Ave
Fahc - Psychological Services, Patrick 4
Burlington, VT 05401-1473

Mailing address

111 Colchester Ave
Fahc - Psychological Services, Patrick 4
Burlington, VT 05401-1473
Phone (802) 847-4923

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 7, 2023.

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1679745707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "address_2": "FAHC - PSYCHOLOGICAL SERVICES, PATRICK 4",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-4923",
            "fax_number": "802-847-8961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "address_2": "FAHC - PSYCHOLOGICAL SERVICES, PATRICK 4",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-4923",
            "fax_number": "802-847-8961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMICO",
        "first_name": "DANIELLE",
        "middle_name": "ROBILLARD",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-28",
        "last_updated": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VT",
            "license": "048-0000919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

All providers in Burlington, VT · Psychologist in Vermont

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.