FORTUNATO PSYCHOLOGY SERVICES, LLC


Address: 1 Richmond Sq, Suite 217 W, Providence, RI 02906-5139
Phone: 4014893636

FORTUNATO PSYCHOLOGY SERVICES, LLC (NPI# 1578921185) 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) 1578921185
Entity Type Organization
Organization Name FORTUNATO PSYCHOLOGY SERVICES, LLC
Practice Address 1 Richmond Sq
Suite 217 W
Providence
RI 02906-5139
Practice Telephone 4014893636
Enumeration Date 2016-02-10
Last Update Date 2016-02-10
Authorized Official Name DR. JESSICA VICTORIA FORTUNATO (CLINICAL PSYCHOLOGIST)
Authorized Official Telephone 4014893636
Authorized Official Credential PSY.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PS00986 RI Behavioral Health & Social Service Providers

Office Location

Street Address 1 RICHMOND SQ
SUITE 217 W
City PROVIDENCE
State RI
Zip Code 02906-5139

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275626582 Jane G Ofarrell Social Worker 1 Richmond Sq, Suite 126c, Providence, RI 02906-5139 2006-10-02
1316574510 Matthew M Dunton Social Worker 1 Richmond Sq, Providence, RI 02906-5139 2020-03-26
1346806148 Regina Lapietra Student in an Organized Health Care Education/Training Program 1 Richmond Sq, Providence, RI 02906-5139 2019-05-16
1548779366 Madrone Bayan Phoenix Social Worker 1 Richmond Sq, Providence, RI 02906-5139 2017-09-25
1417490426 Karlo Berger Community Health Worker 1 Richmond Sq, Suite 120k, Providence, RI 02906-5139 2016-11-22
1114378098 Angela Rudner Psychotherapy LLC Social Worker 1 Richmond Sq, Ste152 E, Providence, RI 02906-5139 2016-06-22
1558738633 Peter Loss, Acsw Inc Social Worker 1 Richmond Sq, Suite 141c, Providence, RI 02906-5139 2015-08-25
1770968349 Peter Loss Social Worker 1 Richmond Sq, Suite 141c, Providence, RI 02906-5139 2015-07-24
1629451513 Rwm Consulting Psychiatry & Neurology 1 Richmond Sq, Suite 154e, Providence, RI 02906-5139 2015-07-09
1699174110 Jennifer Cawley Massage Therapist 1 Richmond Sq, Suite 307e, Providence, RI 02906-5139 2014-08-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285245175 Birdsong Traditional Medicine, LLC Acupuncturist 148 Waterman St. Ground Level, Providence, RI 02906 2020-08-13
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1316453855 Ellen Van Ingen Darling Psychologist 285 Governor St Ste 250, Providence, RI 02906 2017-12-20
1275063919 Marissa Martz Psychiatry & Neurology 345 Blackstone Blvd., Providence, RI 02906 2017-06-15
1235663220 Alena Haltzman Counselor 223 Summit Ave, Providence, RI 02906 2017-04-17
1669823399 Kathryn Fleming-ives LLC Psychiatry & Neurology 355 Hope St Unit 1, Providence, RI 02906 2016-06-23
1134573389 Sarah E. Kramer Psychiatry & Neurology Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 2016-04-13
1538534201 Laura Anne Buss Social Worker 55 Hope St., Providence, RI 02906 2015-12-07
1700289360 Tinatin Surguladze Counselor 205 Waterman St Suite 106, Providence, RI 02906 2014-09-26
1467851519 Jamila Allouane Social Worker 120 Wayland Avenue Suite 2, Providence, RI 02906 2014-08-14
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982225033 Julia Michelle Kamenetsky Psychologist 1155 Westminster St Ste 206, Providence, RI 02909-1140 2020-04-29
1801430509 Concentric Psychological Services PC Psychologist 205 Waterman St Ste 106, Providence, RI 02906-4313 2019-11-05
1073094181 Frederick Psychological Services, LLC Psychologist 2 Regency Plz Ste 18, Providence, RI 02903-3143 2018-08-27
1316453855 Ellen Van Ingen Darling Psychologist 285 Governor St Ste 250, Providence, RI 02906 2017-12-20
1255865218 Carly Michelle Goldstein Psychologist 196 Richmond St, Providence, RI 02903-4212 2017-04-17
1831505163 Von Marie Rodriguez-guzman Psychologist Coro West Building, One Hoppin Street, Room 2.062, Providence, RI 02903 2014-07-08
1407262058 Theresa Morgan Psychologist 593 Eddy St, Potter Bldg 2nd Floor, Dept of Psychiatry, Rhode Island Hospital, Providence, RI 02903 2014-07-03
1871930875 Bernardine Pinto Psychologist 164 Summit Ave. Coro West, Suite 309, Miriam Hospital, Cbpm, Providence, RI 02906 2013-05-30
1619240009 Shirley Yen Psychologist 700 Butler Dr, Providence, RI 02906-4871 2012-02-15
1639440449 Sasha Lambert Psychologist 49 Pavilion Ave Ste 105, Providence, RI 02905-1534 2012-01-25
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Competitor

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City PROVIDENCE
Zip Code 02906

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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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