PSYCHOLOGICAL ASSOCIATES OF WARWICK II, LLC (NPI# 1619428422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619428422 |
| Entity Type | Organization |
| Organization Name | PSYCHOLOGICAL ASSOCIATES OF WARWICK II, LLC |
| Practice Address |
889 Centerville Rd Warwick RI 02886-4342 |
| Practice Telephone | 4018268875 |
| Practice Fax Number | 4018239180 |
| Mailing Telephone | 4018268875 |
| Mailing Fax Number | 4018239180 |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |
| Authorized Official Name | DR. BRADEN JOEPHSON (OWNER/PSYCHOLOGIST) |
| Authorized Official Telephone | 9177765433 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
ISW01666 | RI | Behavioral Health & Social Service Providers |
| N | 106E00000X | Assistant Behavior Analyst | LBA00074 | RI | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS01524 | RI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | NEIGHBORHOOD HEALTH BEACON HEALTH OPTIONS | 1101520 | 01 |
| RI | BLUE CROSS AND BLUE SHIELD OF RI | 0000003916 | 01 |
| Street Address |
889 CENTERVILLE RD |
| City | WARWICK |
| State | RI |
| Zip Code | 02886-4342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801843388 | Psychological Associates | Psychologist | 889 Centerville Rd, Warwick, RI 02886-4342 | 2006-05-28 |
| 1972097962 | Jocelyn Malave | Behavior Technician | 889 Centerville Rd, Warwick, RI 02886 | 2018-06-21 |
| 1770074205 | Peyton Rose Judge | Behavior Technician | 889 Centerville Rd, Warwick, RI 02886-4342 | 2018-05-21 |
| 1649785924 | Kathryn Wiley | Behavior Technician | 889 Centerville Rd, Warwick, RI 02886-4342 | 2017-12-07 |
| 1306270343 | Crystal Lee Dussault-felipe | Psychologist | 889 Centerville Rd, Warwick, RI 02886-4342 | 2013-08-27 |
| 1528222486 | Michael Abruzzese | Clinical Neuropsychologist | 889 Centerville Rd, Warwick, RI 02886-4342 | 2008-07-10 |
| 1477758282 | Psychological Associates of Warwick | Clinical Neuropsychologist | 889 Centerville Rd, Warwick, RI 02886-4342 | 2007-06-20 |
| 1033324355 | Jessica Fay Rainey | Social Worker | 889 Centerville Rd, Warwick, RI 02886-4342 | 2007-05-11 |
| 1255545091 | Lea Lockwood | Social Worker | 889 Centerville Rd, Warwick, RI 02886-4342 | 2007-05-10 |
| 1053434332 | Robin Corrigan | Social Worker | 889 Centerville Rd, Warwick, RI 02886-4342 | 2007-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694445 | Sheri Lynn Sklarz | Specialist | 300 Quaker Lane, Miracle Ear Suite C15, Warwick, RI 02886 | 2020-03-23 |
| 1316581424 | Dr. Degiulio & Associates Inc | Optometrist | 400 Bald Hill Road Ste 163, Warwick Mall, Warwick, RI 02886 | 2019-10-31 |
| 1255813291 | Samantha Pena Moore | Behavioral Analyst | 3446 Post Road, Warwick, RI 02886 | 2018-09-06 |
| 1912496209 | Martin Jude Cotti | Internal Medicine | 455 Toll Gate Rd., Warwick, RI 02886 | 2018-05-02 |
| 1447764261 | Cynthia A Lessard | Nurse Practitioner | 15 Health Lane, Warwick, RI 02886 | 2017-12-01 |
| 1538687520 | David A. Bennett | Registered Nurse | 2756 Post Road, Warwick, RI 02886 | 2017-08-30 |
| 1427585223 | Brittany Teixeira | Counselor | 85 Earl Street, Warwick, RI 02886 | 2017-05-11 |
| 1497125199 | Aiden Philip Cwynar | Optometrist | 1050 Centerville Road, Warwick, RI 02886 | 2015-10-07 |
| 1104221738 | Wilfredo L Sancianco Dmd Inc | Preferred Provider Organization | 3411 W Shiore Rd, Warwick, RI 02886 | 2014-10-24 |
| 1831508662 | Matthew Bryant Mitchell | Physical Therapist | 400 Bald Hill Rd #511, Warwick, RI 02886 | 2014-08-06 |
| Find all providers in zip 02886 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629266226 | Tracy M Townsend | Psychologist | 931 Jefferson Blvd, Warwick, RI 02886-2234 | 2007-10-09 |
| 1962604439 | Sondra M Tuckfelt | Psychologist | 56 Sleepy Valley Rd, Warwick, NY 10990-2717 | 2007-06-05 |
| 1518080167 | Richard Vinacco Jr. | Psychologist | 57 Gillan Ave, Warwick, RI 02886-3105 | 2007-04-09 |
| 1003957283 | Norman Charles Dupont | Psychologist | 26 Janet Drive, Warwick, RI 02886-7424 | 2007-02-09 |
| 1881747871 | Julie Lucier | Psychologist | 3296 Post Rd Ste 2a, Warwick, RI 02886-7131 | 2007-01-21 |
| 1265584973 | Joseph Roman | Psychologist | 210 Ronald Reagan Blvd, Warwick, NY 10990-4107 | 2007-01-16 |
| 1588730311 | Ellen Kenner | Psychologist | 51 Jefferson Blvd, Suite 400, Warwick, RI 02888-1002 | 2006-11-24 |
| 1497363105 | Miranda Icart | Psychologist | 400 Bald Hill Rd, Warwick, RI 02886-1617 | 2020-07-20 |
| 1386200558 | Sharaya Mcfadden | Psychologist | 400 Bald Hill Rd Ste 530, Warwick, RI 02886-6111 | 2019-05-14 |
| 1538535034 | Mary Ellen Tillotson | Psychologist | 15 Aspen Way, Warwick, RI 02886-5006 | 2015-08-19 |
| Find all providers in WARWICK | ||||
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| 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.