Individual provider Active NPI

Vanessa Calabrese, PHD

  • Clinical Psychologist
  • Canton, MA
National Provider Identifier
1881088359
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
9732 Issued in MA
Practice address
95 Washington St Ste 104-249
Canton, MA 02021-4006
Phone
(617) 304-4316
NPI assigned
Mar 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 9732 MA Primary

Addresses

Primary practice location

95 Washington St Ste 104-249
Canton, MA 02021-4006

Mailing address

95 Washington St Ste 104-249
Canton, MA 02021-4006
Phone (617) 304-4316

Other names 1

  • Dr. Vanessa Calabrese Sloat Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 3, 2020 through Feb 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
9732MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Calabrese Psychology LLC Clinical CurrentSince Feb 7, 2021 Accepting new patients

Locations

612 Main St
Melrose, MA 02176
Phone (617) 340-9323

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1881088359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 WASHINGTON ST STE 104-249",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020214006",
            "telephone_number": "617-304-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 WASHINGTON ST STE 104-249",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020214006",
            "telephone_number": "617-304-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALABRESE",
        "first_name": "VANESSA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-23",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "9732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "SLOAT",
            "middle_name": "CALABRESE",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canton, MA

Sources for this page

Verify at the official NPI Registry.