Healthcare Provider Details

I. General information

NPI: 1447939079
Provider Name (Legal Business Name): NATHAN CAPALBO PSY.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2023
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1485 S COUNTY TRL STE 107
EAST GREENWICH RI
02818-1747
US

IV. Provider business mailing address

4800 N SCOTTSDALE RD STE 2500
SCOTTSDALE AZ
85251-7630
US

V. Phone/Fax

Practice location:
  • Phone: 401-785-0040
  • Fax:
Mailing address:
  • Phone: 401-785-0040
  • Fax: 401-941-7847

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberXXXXXXX
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: