Christine Marie Diblasio, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

48-0000456 Issued in VT

Practice address

27 Rye Circle
South Burlington, VT 05403-6209

Phone

(802) 654-7607

Fax

(802) 654-9155

NPI assigned

May 30, 2006

Last updated

Sep 16, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1689621922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 RYE CIRCLE",
            "address_2": "SUITE 10",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "05403",
            "telephone_number": "802-654-7607",
            "fax_number": "802-654-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 RYE CIRCLE",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036209",
            "telephone_number": "802-654-7607",
            "fax_number": "802-654-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBLASIO",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "48-0000456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002861",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Mavis Desroche, ND
• Megan Detweiler, RN
• Jennifer R Devita, O.D.
• Vincent J Devita, O.D.
• Regan Dewhirst, DPT
• Leyla Dickason, RN
• Heather Lynn Diederich, D.C.
• Shon Christopher Diguglielmo, D.D.S.
• Cara Dimasi, N.P.
• Mark Chipman Dobson, DTR

• Clinical Psychologist in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Clinical Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.