Healthcare Provider Details

I. General information

NPI: 1376678185
Provider Name (Legal Business Name): PATRICIA MARIE MEINHOLD PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 HILLSDALE RD
WEST KINGSTON RI
02892-1005
US

IV. Provider business mailing address

313 HILLSDALE RD
WEST KINGSTON RI
02892-1005
US

V. Phone/Fax

Practice location:
  • Phone: 401-491-9026
  • Fax:
Mailing address:
  • Phone: 401-491-9026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS00842
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License NumberPS00842
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: