Chonlada Jarukitisakul, PHD
Psychologist in Providence, Rhode Island
1962024869- Practice location
- 450 Brook Street, Providence, RI 02906
- Phone
- 401-863-3476
- Fax
- —
- Last updated
- August 13, 2026
Chonlada Jarukitisakul is a Psychologist based in Providence, RI. Chonlada Jarukitisakul practices in Providence, RI and has the professional credentials of PHD. The NPI Number for Chonlada Jarukitisakul is 1962024869 and holds a License No. PS01791 (RI). The current practice location address for Chonlada Jarukitisakul is 450 Brook Street, Providence, RI 02906 and can be reached out via phone at 401-863-3476.
Provider Profile Details
- NPI Number
- 1962024869
- Provider Name
- Chonlada Jarukitisakul
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 450 Brook Street, Providence, RI 02906
- Phone Number
- 401-863-3476
- Primary Taxonomy
- Psychologist · 103T00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 13, 2020
- Last Update Date
- August 13, 2026
- Certification Date
- August 13, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 450 Brook Street
Providence, RI 02906 - City
- Providence
- State
- Rhode Island
- Zip
- 02906
- Phone Number
- 401-863-3476
Provider Business Mailing Address Details
- Address
- 69 Brown Street Box 1960
Providence, RI 02912-0001 - City
- Providence
- State
- RI
- Zip
- 02912-0001
License Information
- License Number (1)
- PS01791
- License State (1)
- RI
- Taxonomy (1)
- Psychologist · 103T00000X · Primary
- Taxonomy (2)
- Psychologist · 103T00000X
- License Number (3)
- 11069-PY-PR
- License State (3)
- MA
- Taxonomy (3)
- Psychologist · 103T00000X
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 Chonlada Jarukitisakul, PHD?
The NPI number of Chonlada Jarukitisakul, PHD is 1962024869. It was assigned on May 13, 2020 and is currently active in the NPPES registry.
What is the specialty of Chonlada Jarukitisakul, PHD?
Chonlada Jarukitisakul, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in RI under license number PS01791.
Where does Chonlada Jarukitisakul, PHD practice?
The practice location is 450 Brook Street, Providence, RI 02906. The office can be reached at 401-863-3476 (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 1962024869 directly on the NPPES registry website.