Dr. Kelley H Pistacchio, PHD
Psychologist, Group Psychotherapy in Providence, Rhode Island
1780713735- Practice location
- 610 Manton Ave, Providence, RI 02909-5633
- Phone
- 401-274-6310
- Fax
- 401-421-1977
- Last updated
- September 11, 2025
Kelley Harrison Pistacchio is a Psychologist, Group Psychotherapy based in Providence, RI. Kelley Harrison Pistacchio practices in Providence, RI and has the professional credentials of PHD. The NPI Number for Kelley Harrison Pistacchio is 1780713735 and holds a License No. PS00680 (RI). The current practice location address for Kelley Harrison Pistacchio is 610 Manton Ave, Providence, RI 02909-5633 and can be reached out via phone at 401-274-6310 and via fax at 401-421-1977.
Provider Profile Details
- NPI Number
- 1780713735
- Provider Name
- Kelley Harrison Pistacchio
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 610 Manton Ave, Providence, RI 02909-5633
- Phone Number
- 401-274-6310
- Fax Number
- 401-421-1977
- Primary Taxonomy
- Psychologist, Group Psychotherapy · 103TP2701X
- Sole Proprietor
- No
- Other Names
- Dr. Kelley Harrison, PHD (Former Name)
- Provider Enumeration Date
- March 5, 2007
- Last Update Date
- September 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 610 Manton Ave
Providence, RI 02909-5633 - City
- Providence
- State
- Rhode Island
- Zip
- 02909-5633
- Phone Number
- 401-274-6310
- Fax Number
- 401-421-1977
Provider Business Mailing Address Details
- Address
- 122 Jane St
North Providence, RI 02904-4957 - City
- North Providence
- State
- RI
- Zip
- 02904-4957
- Phone Number
- 401-274-6310
- Fax Number
- 401-421-1977
License Information
- License Number (1)
- PS00680
- License State (1)
- RI
- Taxonomy (1)
- Psychologist · 103T00000X
- License Number (2)
- PS00680
- License State (2)
- RI
- Taxonomy (2)
- Psychologist, Cognitive & Behavioral · 103TB0200X
- License Number (3)
- PS00680
- License State (3)
- RI
- Taxonomy (3)
- Psychologist, Clinical · 103TC0700X
- License Number (4)
- PS00680
- License State (4)
- RI
- Taxonomy (4)
- Psychologist, Clinical Child & Adolescent · 103TC2200X
- License Number (5)
- PS00680
- License State (5)
- RI
- Taxonomy (5)
- Psychologist, Intellectual & Developmental Disabilities · 103TM1800X
- License Number (6)
- PS00680
- License State (6)
- RI
- Taxonomy (6)
- Psychologist, Group Psychotherapy · 103TP2701X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Kelley H Pistacchio, PHD?
The NPI number of Dr. Kelley H Pistacchio, PHD is 1780713735. It was assigned on March 5, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Kelley H Pistacchio, PHD?
Dr. Kelley H Pistacchio, PHD is registered under the primary taxonomy Psychologist, Group Psychotherapy (code 103TP2701X), licensed in RI under license number PS00680.
Where does Dr. Kelley H Pistacchio, PHD practice?
The practice location is 610 Manton Ave, Providence, RI 02909-5633. The office can be reached at 401-274-6310 (phone) or 401-421-1977 (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 1780713735 directly on the NPPES registry website.