Healthcare Provider Details

I. General information

NPI: 1992490247
Provider Name (Legal Business Name): SABRINA ANNETTE POPE-BOYD PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2023
Last Update Date: 03/15/2026
Certification Date: 03/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 ROMANO VINEYARD WAY UNIT 6183
NORTH KINGSTOWN RI
02852-8425
US

IV. Provider business mailing address

41 ROMANO VINEYARD WAY # 6183
NORTH KINGSTOWN RI
02852-8425
US

V. Phone/Fax

Practice location:
  • Phone: 401-318-2023
  • Fax: 401-519-5422
Mailing address:
  • Phone: 401-318-2023
  • Fax: 401-519-5422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS02417
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS02417
License Number StateRI
# 3
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPS02417
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: