Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DARIO J LUSSARDI MA
NPI 1285679985
Psychologist in Wilmington, VT

Active since June 17, 2006Opted out of Medicare · through Apr 1, 2028
25 COLDBROOK RD, WILMINGTON, VT 05363(802) 464-5550(802) 464-3657 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dario J Lussardi Ma NPPES

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

DARIO J LUSSARDI MA (NPI 1285679985) is an individual psychologist in Wilmington, Vermont, licensed in Vermont (047-0000268) and active in the NPI registry since June 2006. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1285679985
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDARIO J LUSSARDICredential: MA
Location Address25 COLDBROOK RDWilmington, VT 05363-9624
Mailing Address25 Coldbrook RdWilmington, VT 05363-9624 · (802) 464-5550 · Fax (802) 464-3657
Fax(802) 464-3657
Sole ProprietorNo
Enumeration DateJune 17, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1285679985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in VT · 047-0000268
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

25 COLDBROOK RD, Wilmington, VT 05363

Other Identifiers 2

Other00002609VT · Blue Cross & Blue Shield
Medicaid0002609VT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dario J Lussardi Ma 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 April 1, 2016 through April 1, 2028.

Opt-Out Effective DateApril 1, 2016
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
25 COLDBROOK RD, SUITE 1
WILMINGTON, VT 05363
Clinic/Center (Dental)
25 COLDBROOK RD
WILMINGTON, VT 05363

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285679985, enumerated as an "individual" on June 17, 2006.

The provider is located at 25 COLDBROOK RD WILMINGTON, VT 05363 and the phone number is (802) 464-5550.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.