MR. JASON DOMENIC DOLLARD


Address: 178 Broadway, Providence, RI 02903-3014
Phone: 4015256111

MR. JASON DOMENIC DOLLARD (NPI# 1316596547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316596547
Entity Type Individual
Full Name MR. JASON DOMENIC DOLLARD
Credential MFT
Practice Address 178 Broadway
Providence
RI 02903-3014
Practice Telephone 4015256111
Mailing Telephone 4015256111
Enumeration Date 2019-09-10
Last Update Date 2019-09-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers

Office Location

Street Address 178 BROADWAY
City PROVIDENCE
State RI
Zip Code 02903-3014

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1609475755 Sarah Fellows Student in an Organized Health Care Education/Training Program 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 2020-10-20
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1720619489 Ivy Marie Mcdonald Behavioral Analyst 290 W Exchange St #101, Providence, RI 02903 2020-01-31
1447802707 Natalie Monaghan, LLC Social Worker 545 South Water Street, Providence, RI 02903 2019-07-16
1760049522 Daniel Steven Alanko Pediatrics 293 Eddy Street, Providence, RI 02903 2019-05-28
1154894368 Margaret Emily Dyson Behavior Technician 290 W. Exchange St, Providence, RI 02903 2019-01-10
1497235014 Yao Zhou Liu Surgery 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 2018-08-14
1558840645 Tamara Gore Behavior Technician 290 W Exchange Street Suite 101, Providence, RI 02903 2018-08-09
1437642709 Adrian Cotarelo Student in an Organized Health Care Education/Training Program 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 2018-06-12
1356833024 Natalie Rita Noonan Clinical Neuropsychologist 593 Eddy St Ste 430, Providence, RI 02903 2018-05-30
Find all providers in zip 02903

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386119600 Ty Bracken Aller Marriage & Family Therapist 545 W 465 N Ste 130, Providence, UT 84332-8005 2018-10-13
1235481078 Amy Elizabeth Feucht Hogarth Marriage & Family Therapist 198 Waterman St, Providence, RI 02906-4033 2012-10-03
1740509892 Audra Santos Marriage & Family Therapist 17 Braman St, Providence, RI 02906-3503 2010-05-27
1871707539 Mara Berkley Marriage & Family Therapist 78 Oriole Ave, Providence, RI 02906-5528 2007-05-10
1750334942 Jocelyn Amelia Arruda Marriage & Family Therapist 127 Daboll St, Providence, RI 02907-1515 2006-05-18
1396380291 Brittany Lavigne Marriage & Family Therapist 1570 Westminster St, Providence, RI 02909-1825 2019-11-14
1669963286 Kayla E David Marriage & Family Therapist 55 Hope St, Providence, RI 02906-2001 2018-05-21
1326409210 Lauren Potter Marriage & Family Therapist 528 N Main St, Providence, RI 02904-5757 2016-03-18
1326431008 Bonnie Mark Marriage & Family Therapist 534 Angell St, Providence, RI 02906 2015-03-05
1801228853 Cheryl C Dill Marriage & Family Therapist 55 Hope St, Providence, RI 02906-2001 2013-08-01
Find all providers in PROVIDENCE

Competitor

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City PROVIDENCE
Zip Code 02903

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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