Ethan Moitra, PHD
Psychologist, Clinical in East Providence, Rhode Island
1699046276- Practice location
- 400 Massasoit Ave Ste 305, Ricbt, East Providence, RI 02914-2012
- Phone
- 401-294-0451
- Fax
- 401-294-0461
- Last updated
- January 13, 2012
Ethan Moitra is a Psychologist, Clinical based in East Providence, RI. Ethan Moitra practices in East Providence, RI and has the professional credentials of PHD. The NPI Number for Ethan Moitra is 1699046276 and holds a License No. PS01274 (RI). The current practice location address for Ethan Moitra is 400 Massasoit Ave Ste 305, Ricbt, East Providence, RI 02914-2012 and can be reached out via phone at 401-294-0451 and via fax at 401-294-0461.
Provider Profile Details
- NPI Number
- 1699046276
- Provider Name
- Ethan Moitra
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 400 Massasoit Ave Ste 305, Ricbt, East Providence, RI 02914-2012
- Phone Number
- 401-294-0451
- Fax Number
- 401-294-0461
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 13, 2012
- Last Update Date
- January 13, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 400 Massasoit Ave Ste 305
Ricbt
East Providence, RI 02914-2012 - City
- East Providence
- State
- Rhode Island
- Zip
- 02914-2012
- Phone Number
- 401-294-0451
- Fax Number
- 401-294-0461
Provider Business Mailing Address Details
- Address
- 400 Massasoit Ave Ste 305
Ricbt
East Providence, RI 02914-2012 - City
- East Providence
- State
- RI
- Zip
- 02914-2012
- Phone Number
- 401-294-0451
- Fax Number
- 401-294-0461
License Information
- License Number
- PS01274
- License State
- RI
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Clinical providers near East Providence, RI
View all Psychologist, Clinical providers in East Providence →- Anne S Walters, PHDPsychologist, Clinical · NPI 1932148954
- Barbara Tylenda, PHDPsychologist, Clinical · NPI 1629018015
- Carol J Faulkner, PHDPsychologist, Clinical · NPI 1710920293
- Christina J Bellanti, PHDPsychologist, Clinical · NPI 1508813791
- Clifford Bromberg, PHDPsychologist, Clinical · NPI 1699712489
- David W Mcconville, PHDPsychologist, Clinical · NPI 1689616682
Frequently Asked Questions
What is the NPI number of Ethan Moitra, PHD?
The NPI number of Ethan Moitra, PHD is 1699046276. It was assigned on January 13, 2012 and is currently active in the NPPES registry.
What is the specialty of Ethan Moitra, PHD?
Ethan Moitra, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in RI under license number PS01274.
Where does Ethan Moitra, PHD practice?
The practice location is 400 Massasoit Ave Ste 305, Ricbt, East Providence, RI 02914-2012. The office can be reached at 401-294-0451 (phone) or 401-294-0461 (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 1699046276 directly on the NPPES registry website.