Active NPIIndividual providerSole proprietor

Dr. Addyson R Tucker Thai, PSYD

Psychologist, Clinical in Providence, Rhode Island

NPI Number1730540014
Practice location
22 Parsonage St # 159, Providence, RI 02903-4758
Fax
401-489-7909
Last updated
November 11, 2024

Addyson R Tucker Thai is a Psychologist, Clinical based in Providence, RI. Addyson R Tucker Thai practices in Providence, RI and has the professional credentials of PSYD. The NPI Number for Addyson R Tucker Thai is 1730540014 and holds a License No. PS01864 (RI). The current practice location address for Addyson R Tucker Thai is 22 Parsonage St # 159, Providence, RI 02903-4758 and can be reached out via phone at 401-216-7877 and via fax at 401-489-7909.

Provider Profile Details

NPI Number
1730540014
Provider Name
Addyson R Tucker Thai
Credential
PSYD
Provider Entity Type
Individual
Address
22 Parsonage St # 159, Providence, RI 02903-4758
Phone Number
401-216-7877
Fax Number
401-489-7909
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Other Names
Dr. Megan A Tucker, PSYD (Former Name)
Provider Enumeration Date
March 14, 2016
Last Update Date
November 11, 2024
Certification Date
November 11, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
22 Parsonage St # 159
Providence, RI 02903-4758
Zip
02903-4758
Phone Number
401-216-7877
Fax Number
401-489-7909
Providence, RI 02903Get directions →

Provider Business Mailing Address Details

Address
22 Parsonage St # 159
Providence, RI 02903-4732
City
Providence
State
RI
Zip
02903-4732
Phone Number
401-216-7877
Fax Number
401-489-7909

License Information

License Number (1)
PS01864
License State (1)
RI
Taxonomy (1)
Psychologist, Clinical · 103TC0700X · Primary
License Number (2)
10739
License State (2)
MA
Taxonomy (2)
Psychologist, Clinical · 103TC0700X

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 Dr. Addyson R Tucker Thai, PSYD?

The NPI number of Dr. Addyson R Tucker Thai, PSYD is 1730540014. It was assigned on March 14, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Addyson R Tucker Thai, PSYD?

Dr. Addyson R Tucker Thai, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in RI under license number PS01864.

Where does Dr. Addyson R Tucker Thai, PSYD practice?

The practice location is 22 Parsonage St # 159, Providence, RI 02903-4758. The office can be reached at 401-216-7877 (phone) or 401-489-7909 (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 1730540014 directly on the NPPES registry website.

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