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KAREN MARIE FONDACARO PHD
NPI 1225081243
Psychologist - Clinical in Burlington, VT

Active since May 19, 2006Opted out of Medicare · through Jan 9, 2028
2 COLCHESTER AVE, BURLINGTON, VT 05405(802) 656-2661(802) 656-3485 Get Directions Write a Review

NPPES record last updated: February 28, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Karen Marie Fondacaro Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAREN MARIE FONDACARO PHD (NPI 1225081243) is an individual clinical provider in Burlington, Vermont, licensed in Vermont (0480000390) and active in the NPI registry since May 2006. She has opted out of Medicare through January 9, 2028.

NPPES Registry Identity

NPI1225081243
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKAREN MARIE FONDACAROCredential: PHD
Location Address2 COLCHESTER AVEBurlington, VT 05405-1764
Mailing Address2 Colchester AveBurlington, VT 05405-1764 · (802) 656-2661 · Fax (802) 656-3485
Phone(802) 656-2661
Fax(802) 656-3485
Sole ProprietorNo
Enumeration DateMay 19, 2006
Last NPPES UpdateFebruary 28, 2017
✔ NPI 1225081243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in VT · 0480000390
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2 COLCHESTER AVE, Burlington, VT 05405
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Other Identifiers 3

Medicaid1002226VT
Other8721VT · Bcbs
Medicare ID-Type UnspecifiedFOVT9756

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Karen Marie Fondacaro Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 9, 2020 through January 9, 2028.

Opt-Out Effective DateJanuary 9, 2020
Opt-Out In Effect ThroughJanuary 9, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EMILY MAZZULLA PH.D.
Psychologist (Clinical)
2 COLCHESTER AVE
BURLINGTON, VT 05405
Chittenden County (802) 656-2661
ANNABEL DIESTEL
Student in an Organized Health Care Education/Training Program
2 COLCHESTER AVE
BURLINGTON, VT 05405
Chittenden County (802) 656-2661
OLIVIA FRANCES PETERSEN
Student in an Organized Health Care Education/Training Program
2 COLCHESTER AVE
BURLINGTON, VT 05405
Chittenden County (802) 656-2661
CHOEDEN PALMO LAMA
Student in an Organized Health Care Education/Training Program
2 COLCHESTER AVE
BURLINGTON, VT 05405
Chittenden County (802) 656-2661
JILLIAN GIANNINI
Psychologist (Clinical)
2 COLCHESTER AVE
BURLINGTON, VT 05405
Chittenden County (802) 656-2661
NATALIE NOBLE
Student in an Organized Health Care Education/Training Program
2 COLCHESTER AVE
BURLINGTON, VT 05405
Chittenden County (802) 656-2661
CATHLEEN M KELLEY LICSW
Social Worker (Clinical)
2 COLCHESTER AVE
BURLINGTON, VT 05405
Chittenden County (802) 656-2661
LEE DANIEL ROSEN PHD
Psychologist (Clinical)
2 COLCHESTER AVE
BURLINGTON, VT 05405
Chittenden County (802) 656-2661

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karen Fondacaro's NPI number?

The NPI number for Karen Fondacaro is 1225081243. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Karen Fondacaro located?

Karen Fondacaro practices at 2 Colchester Ave, Burlington, VT 05405. The listed phone number is (802) 656-2661.

What is Karen Fondacaro's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Karen Fondacaro enrolled in Medicare?

No. Karen Fondacaro has opted out of Medicare through January 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Karen Fondacaro accept?

Health plans from Anthem Blue Cross and Blue Shield list Karen Fondacaro as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Karen Fondacaro was last updated on February 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.