Healthcare Provider Details

I. General information

NPI: 1508918186
Provider Name (Legal Business Name): ANN M VARNA GARIS PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 CHAFEE BUILDING
KINGSTON RI
02881
US

IV. Provider business mailing address

3055 ANDERSON DR
DIGHTON MA
02715-1413
US

V. Phone/Fax

Practice location:
  • Phone: 401-874-2268
  • Fax: 401-874-2157
Mailing address:
  • Phone: 508-669-4091
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number202
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number202
License Number StateRI
# 3
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number3447
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number202
License Number StateRI
# 5
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number202
License Number StateRI
# 6
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number202
License Number StateRI
# 7
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number202
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: