Healthcare Provider Details

I. General information

NPI: 1144184938
Provider Name (Legal Business Name): RISING TIDES PSYCHOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 BROADWAY STE 5
PROVIDENCE RI
02909-1181
US

IV. Provider business mailing address

340 BROADWAY STE 5
PROVIDENCE RI
02909-1181
US

V. Phone/Fax

Practice location:
  • Phone: 781-820-1640
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER CURRAN DEWEY
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PSY.D.
Phone: 781-820-1640