Healthcare Provider Details

I. General information

NPI: 1396374765
Provider Name (Legal Business Name): RHODE ISLAND PSYCHOLOGICAL INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2020
Last Update Date: 04/07/2020
Certification Date: 04/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1035 POST RD
WARWICK RI
02888-3363
US

IV. Provider business mailing address

1035 POST RD
WARWICK RI
02888-3363
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: KATE SYLVAIN
Title or Position: BILLER
Credential:
Phone: 401-785-0040