Active NPIOrganization

Southcoast Psychology,inc

Psychologist in Providence, Rhode Island

NPI Number1689886194
Practice location
154 Waterman Street, 3RD Floor West, Providence, RI 02906
Fax
—
Last updated
August 22, 2020

Southcoast Psychology,inc is a healthcare organization based in Providence, RI. Southcoast Psychology,inc practices in Providence, RI. The NPI Number for Southcoast Psychology,inc is 1689886194 and holds a License No. PS00719 (RI). The current practice location address for Southcoast Psychology,inc is 154 Waterman Street, 3RD Floor West, Providence, RI 02906 and can be reached out via phone at 401-241-2059.

Provider Profile Details

NPI Number
1689886194
Provider Name
Southcoast Psychology,inc
Provider Entity Type
Organization
Address
154 Waterman Street, 3RD Floor West, Providence, RI 02906
Phone Number
401-241-2059
Primary Taxonomy
Psychologist · 103T00000X
Organization Subpart
No
Authorized Official
Dr. Thomas J. Petrouski, PSYD · President · 508-644-1210
Provider Enumeration Date
May 4, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
154 Waterman Street
3RD Floor West
Providence, RI 02906
Zip
02906
Phone Number
401-241-2059
Providence, RI 02906Get directions →

Provider Business Mailing Address Details

Address
P.o. Box 642
Assonet, MA 02702-1446
City
Assonet
State
MA
Zip
02702-1446
Phone Number
508-644-1210
Fax Number
508-644-1210

License Information

License Number
PS00719
License State
RI
Taxonomy
Psychologist · 103T00000X · 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 Southcoast Psychology,inc?

The NPI number of Southcoast Psychology,inc is 1689886194. It was assigned on May 4, 2007 and is currently active in the NPPES registry.

What is the specialty of Southcoast Psychology,inc?

Southcoast Psychology,inc is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in RI under license number PS00719.

Where does Southcoast Psychology,inc practice?

The practice location is 154 Waterman Street, 3RD Floor West, Providence, RI 02906. The office can be reached at 401-241-2059 (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 1689886194 directly on the NPPES registry website.

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