MEDICARE: DR. SABRINA ANNETTE POPE-BOYD PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PS02417	RI
2	103T00000X	Psychologist	PS02417	RI
3	103G00000X	Clinical Neuropsychologist	PS02417	RI

General Provider Information

NPI Number	:	1992490247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SABRINA ANNETTE POPE-BOYD PHD

Provider Business Mailing Address
First Line	:	41 ROMANO VINEYARD WAY # 6183
Second Line	:
City	:	NORTH KINGSTOWN
State	:	RI
Zip	:	02852-8425
Country	:	US
Telephone Number	:	401-318-2023
Fax Number	:	401-519-5422

Provider Business Practice Location Address
First Line	:	41 ROMANO VINEYARD WAY UNIT 6183
Second Line	:
City	:	NORTH KINGSTOWN
State	:	RI
Zip	:	02852-8425
Country	:	US
Telephone Number	:	401-318-2023
Fax Number	:	401-519-5422

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2023
Last Update Date	:	03/15/2026

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