Individual provider Active NPI

Vanessa D'Orio, PHD

  • Clinical Neuropsychologist
  • Brookline, MA
National Provider Identifier
1962927947
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
10633 Issued in MA
Practice address
1368 Beacon St Ste 116
Brookline, MA 02446-2800
Phone
(617) 959-1010
NPI assigned
Aug 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 10633 MA
Clinical Neuropsychologist 103G00000X 10633 MA Primary

Addresses

Primary practice location

1368 Beacon St Ste 116
Brookline, MA 02446-2800

Mailing address

1368 Beacon St Ste 116
Brookline, MA 02446-2800
Phone (617) 959-1010

Other practice location 1

133 Old Road To 9 Acre Cor
Concord, MA 01742-4159
Phone (978) 287-8250

Other practice location 2

1368 Beacon St Ste 116
Brookline, MA 02446-2800
Phone (617) 959-1010

Other practice location 3

81 Highland Ave
Salem, MA 01970-2714
Phone (978) 741-1200

Other practice location 4

81 Highland Ave
Salem, MA 01970-2714
Phone (978) 741-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20170920002626 MA Practitioner - Clinical Psychologist 1153695747 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
North Shore Medical Center, Inc.Group PAC ID 3274427570, 44 clinicians

Practice addresses (Care Compare)

81 Highland Ave
Salem, MA 01970-2714
Phone (978) 741-1200

Hospital & facility affiliations

  • North Shore Medical Center - Hospital, Salem, MA, CCN 220035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
10633MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Medical Center, Inc. CurrentSince Feb 1, 2018 Accepting new patients
Commonwealth Pathology Partners, P.C. Current Accepting new patients
North Shore Medical Center, Inc. CurrentSince Feb 1, 2018 Accepting new patients
Emerson Practice Associates, Inc. CurrentSince Dec 1, 2017 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince Jan 1, 2022 Accepting new patients
NSPG Billing LLC Past Accepting new patients

Locations

133 Ornac
Concord, MA 01742
Phone (978) 287-3000

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

Interoperability endpoints

  • Direct secure messaging: dorio.vanessa.nsmc@direct.partners.masshiway.net

Organizations & group practices 6

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1962927947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1368 BEACON ST STE 116",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462800",
            "telephone_number": "617-959-1010",
            "fax_number": "617-734-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1368 BEACON ST STE 116",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462800",
            "telephone_number": "617-959-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 Old Road To 9 Acre Cor",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "MA",
            "postal_code": "017424159",
            "country_code": "US",
            "telephone_number": "978-287-8250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1368 Beacon St Ste 116",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "024462800",
            "country_code": "US",
            "telephone_number": "617-959-1010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "MA",
            "postal_code": "019702714",
            "country_code": "US",
            "telephone_number": "978-741-1200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "MA",
            "postal_code": "019702714",
            "country_code": "US",
            "telephone_number": "978-741-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'ORIO",
        "first_name": "VANESSA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "10633",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MA",
            "license": "10633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.