Healthcare Provider Details

I. General information

NPI: 1205972528
Provider Name (Legal Business Name): ANDRE P. BESSETTE PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3445 POST RD
WARWICK RI
02886-7147
US

IV. Provider business mailing address

83 E QUASSET RD
WOODSTOCK CT
06281-3306
US

V. Phone/Fax

Practice location:
  • Phone: 401-739-2700
  • Fax:
Mailing address:
  • Phone: 860-933-6697
  • Fax: 860-456-4068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS02315
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number002738
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: