Active NPI
Geraldine Oppedisano, PH.D
- Psychologist
- South Burlington, VT
National Provider Identifier
1992916514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 855
- Practice address
- PO Box 9278
South Burlington, VT 05407-9278 - Phone
- (802) 660-2939
- NPI assigned
- May 25, 2007
- Last updated
- Oct 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 855 | VT | Primary |
Addresses
Primary practice location
PO Box 9278
South Burlington, VT 05407-9278
Mailing address
166 Battery St
Burlington, VT 05401-5283
Phone (802) 660-2939
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPVN3939 | Medicaid | VT |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060313000440 | VT | Practitioner - Clinical Psychologist | 8224045489 | Practice locations: South Burlington, VT |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
110 Patchen Rd
South Burlington, VT 05403-5785
Phone (802) 660-2939
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507852800000",
"number": "1992916514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 BATTERY ST",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054015283",
"telephone_number": "802-660-2939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 9278",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054079278",
"telephone_number": "802-660-2939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPPEDISANO",
"first_name": "GERALDINE",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-25",
"last_updated": "2017-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VT",
"license": "855",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OPVN3939",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; 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.