Active NPIIndividual provider

Dr. Crassandra A Mandojana Ducot, PHD

Psychologist, Clinical Child & Adolescent in Wakefield, Rhode Island

NPI Number1982474987
Practice location
1058 Kingstown RD # 101, Wakefield, RI 02879-2536
Fax
401-782-1313
Last updated
January 2, 2024

Crassandra Anastasia Mandojana Ducot is a Psychologist, Clinical Child & Adolescent based in Wakefield, RI. Crassandra Anastasia Mandojana Ducot practices in Wakefield, RI and has the professional credentials of PHD. The NPI Number for Crassandra Anastasia Mandojana Ducot is 1982474987 and holds a License No. PS02238 (RI). The current practice location address for Crassandra Anastasia Mandojana Ducot is 1058 Kingstown RD # 101, Wakefield, RI 02879-2536 and can be reached out via phone at 401-789-1553 and via fax at 401-782-1313.

Provider Profile Details

NPI Number
1982474987
Provider Name
Crassandra Anastasia Mandojana Ducot
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
1058 Kingstown RD # 101, Wakefield, RI 02879-2536
Phone Number
401-789-1553
Fax Number
401-782-1313
Primary Taxonomy
Psychologist, Clinical Child & Adolescent · 103TC2200X
Sole Proprietor
No
Provider Enumeration Date
January 2, 2024
Last Update Date
January 2, 2024
Certification Date
January 2, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1058 Kingstown RD # 101
Wakefield, RI 02879-2536
Zip
02879-2536
Phone Number
401-789-1553
Fax Number
401-782-1313
Wakefield, RI 02879Get directions →

Provider Business Mailing Address Details

Address
1058 Kingstown RD # 101
Wakefield, RI 02879-2536
City
Wakefield
State
RI
Zip
02879-2536
Phone Number
401-789-1553
Fax Number
401-782-1313

License Information

License Number
PS02238
License State
RI
Taxonomy
Psychologist, Clinical Child & Adolescent · 103TC2200X · 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 Dr. Crassandra A Mandojana Ducot, PHD?

The NPI number of Dr. Crassandra A Mandojana Ducot, PHD is 1982474987. It was assigned on January 2, 2024 and is currently active in the NPPES registry.

What is the specialty of Dr. Crassandra A Mandojana Ducot, PHD?

Dr. Crassandra A Mandojana Ducot, PHD is registered under the primary taxonomy Psychologist, Clinical Child & Adolescent (code 103TC2200X), licensed in RI under license number PS02238.

Where does Dr. Crassandra A Mandojana Ducot, PHD practice?

The practice location is 1058 Kingstown RD # 101, Wakefield, RI 02879-2536. The office can be reached at 401-789-1553 (phone) or 401-782-1313 (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 1982474987 directly on the NPPES registry website.

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