Active NPIIndividual provider

Jill Henley, PSYD

Psychologist, Clinical in East Providence, Rhode Island

NPI Number1306327614
Practice location
400 Massasoit Ave Ste 305, East Providence, RI 02914-2012
Fax
—
Last updated
December 15, 2022

Jill Henley is a Psychologist, Clinical based in East Providence, RI. Jill Henley practices in East Providence, RI and has the professional credentials of PSYD. The NPI Number for Jill Henley is 1306327614 and holds a License No. 10768 (MA). The current practice location address for Jill Henley is 400 Massasoit Ave Ste 305, East Providence, RI 02914-2012 and can be reached out via phone at 401-294-0451.

Provider Profile Details

NPI Number
1306327614
Provider Name
Jill Henley
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
400 Massasoit Ave Ste 305, East Providence, RI 02914-2012
Phone Number
401-294-0451
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
August 24, 2018
Last Update Date
December 15, 2022
Certification Date
December 15, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 Massasoit Ave Ste 305
East Providence, RI 02914-2012
Zip
02914-2012
Phone Number
401-294-0451
East Providence, RI 02914Get directions →

Provider Business Mailing Address Details

Address
1130 Ten Rod RD Ste E305
N Kingstown, RI 02852-4176
City
N Kingstown
State
RI
Zip
02852-4176
Phone Number
401-294-0451

License Information

License Number (1)
10768
License State (1)
MA
Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (2)
PS01841
License State (2)
RI
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jill Henley, PSYD?

The NPI number of Jill Henley, PSYD is 1306327614. It was assigned on August 24, 2018 and is currently active in the NPPES registry.

What is the specialty of Jill Henley, PSYD?

Jill Henley, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 10768.

Where does Jill Henley, PSYD practice?

The practice location is 400 Massasoit Ave Ste 305, East Providence, RI 02914-2012. The office can be reached at 401-294-0451 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306327614 directly on the NPPES registry website.

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