Active NPIIndividual provider

Alyssa N De Vito-Izzo, PHD

Clinical Neuropsychologist in Providence, Rhode Island

NPI Number1336015445
Practice location
345 Blackstone Blvd, Providence, RI 02906-4800
Fax
401-455-6689
Last updated
October 23, 2025

Alyssa Nicole De Vito-Izzo is a Clinical Neuropsychologist based in Providence, RI. Alyssa Nicole De Vito-Izzo practices in Providence, RI and has the professional credentials of PHD. The NPI Number for Alyssa Nicole De Vito-Izzo is 1336015445 and holds a License No. PS02346 (RI). The current practice location address for Alyssa Nicole De Vito-Izzo is 345 Blackstone Blvd, Providence, RI 02906-4800 and can be reached out via phone at 401-455-6200 and via fax at 401-455-6689.

Provider Profile Details

NPI Number
1336015445
Provider Name
Alyssa Nicole De Vito-Izzo
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
345 Blackstone Blvd, Providence, RI 02906-4800
Phone Number
401-455-6200
Fax Number
401-455-6689
Primary Taxonomy
Clinical Neuropsychologist · 103G00000X
Sole Proprietor
No
Other Names
Alyssa De Vito, PHD (Professional Name)
Provider Enumeration Date
October 15, 2025
Last Update Date
October 23, 2025
Certification Date
October 23, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
345 Blackstone Blvd
Providence, RI 02906-4800
Zip
02906-4800
Phone Number
401-455-6200
Fax Number
401-455-6689
Providence, RI 02906Get directions →

Provider Business Mailing Address Details

Address
455 Toll Gate Road
Prc And Credentialing
Warwick, RI 02886-2759
City
Warwick
State
RI
Zip
02886-2759
Phone Number
401-273-0641
Fax Number
401-273-2919

License Information

License Number
PS02346
License State
RI
Taxonomy
Clinical Neuropsychologist · 103G00000X · 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 Alyssa N De Vito-Izzo, PHD?

The NPI number of Alyssa N De Vito-Izzo, PHD is 1336015445. It was assigned on October 15, 2025 and is currently active in the NPPES registry.

What is the specialty of Alyssa N De Vito-Izzo, PHD?

Alyssa N De Vito-Izzo, PHD is registered under the primary taxonomy Clinical Neuropsychologist (code 103G00000X), licensed in RI under license number PS02346.

Where does Alyssa N De Vito-Izzo, PHD practice?

The practice location is 345 Blackstone Blvd, Providence, RI 02906-4800. The office can be reached at 401-455-6200 (phone) or 401-455-6689 (fax).

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 1336015445 directly on the NPPES registry website.

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