JESSICA SOMERVILLE RUFFOLO (NPI# 1699708677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699708677 |
| Entity Type | Individual |
| Full Name | JESSICA SOMERVILLE RUFFOLO |
| Credential | PH.D. |
| Practice Address |
875 Centerville Rd Unit 2 Warwick RI 02886-4381 |
| Practice Telephone | 4015299921 |
| Practice Fax Number | 4016157544 |
| Mailing Telephone | 4015299921 |
| Mailing Fax Number | 4016157544 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2012-02-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PS0000896 | RI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | BCBS RI | 29875-9 | 01 |
| RI | BLUECHIP | 412854 | 01 |
| Street Address |
875 CENTERVILLE RD UNIT 2 |
| City | WARWICK |
| State | RI |
| Zip Code | 02886-4381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801896378 | Pierre Ross Michaud | Plastic Surgery | 875 Centerville Rd, Warwick, RI 02886-4381 | 2005-07-27 |
| 1053740035 | Anderson-squires, LLC | Social Worker | 875 Centerville Rd, Unit 2, Warwick, RI 02886-4381 | 2013-11-11 |
| 1508049305 | Medical Assisted Recovery, Inc. | Internal Medicine | 875 Centerville Rd, Warwick, RI 02886-4381 | 2007-12-14 |
| 1902961642 | Daniel Squires | Psychologist | 875 Centerville Rd, Unit 2, Warwick, RI 02886-4381 | 2006-12-22 |
| 1184638397 | Eileen G Johnson | Clinical Neuropsychologist | 875 Centerville Rd, Suite 15, Warwick, RI 02886-4381 | 2006-07-27 |
| 1205850989 | Sylvester C Sviokla | Specialist | 875 Centerville Rd, Suite 15, Warwick, RI 02886-4381 | 2006-07-27 |
| 1184685182 | Carole Seifert | Counselor | 875 Centerville Rd, Suite 15, Warwick, RI 02886-4381 | 2006-03-29 |
| 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 | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972033827 | Dmitry Meyerson | Clinical Neuropsychologist | 177 Airport Rd, Warwick, RI 02889-1046 | 2017-06-14 |
| 1487904587 | Gregg Buongiorno | Clinical Neuropsychologist | 227 Centerville Rd, Warwick, RI 02886-4394 | 2012-09-16 |
| 1184944662 | Affinity Physicians LLC. | Clinical Neuropsychologist | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2010-06-07 |
| 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 |
| 1972714467 | Raine Lyn Riggs | Clinical Neuropsychologist | 227 Centerville Rd, Warwick, RI 02886-4394 | 2007-05-25 |
| 1184638397 | Eileen G Johnson | Clinical Neuropsychologist | 875 Centerville Rd, Suite 15, Warwick, RI 02886-4381 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689299661 | Laura Elizabeth Korthauer Gilmour | Clinical Neuropsychologist | 110 Lockwood St Ste 430, Providence, RI 02903-4815 | 2020-06-15 |
| 1992339501 | Carmen G Armengol | Clinical Neuropsychologist | 58 Rochambeau Ave, Providence, RI 02906-1908 | 2020-02-24 |
| 1689140121 | Ef Advantage LLC | Clinical Neuropsychologist | 989 Reservoir Ave Ste 4, Cranston, RI 02910-5137 | 2018-10-23 |
| 1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
| 1679064935 | Marlana Joyce Borgos | Clinical Neuropsychologist | 10 Howland Farm Rd, East Greenwich, RI 02818-2651 | 2018-05-22 |
| 1902329667 | Neuroperformance Group, L.l.c | Clinical Neuropsychologist | Two Regency Plaza, Suite 3, Providence, RI 02903 | 2017-07-24 |
| 1871856484 | Rachel K Baldwin | Clinical Neuropsychologist | 355 Hope Street, 2nd Floor, Unit 6, Providence, RI 02906 | 2012-06-19 |
| 1932338951 | Melissa Perkins-banas | Clinical Neuropsychologist | 260 W Exchange St Ste 210, Providence, RI 02903-1000 | 2009-07-12 |
| 1114146958 | Barbara Ann Baron | Clinical Neuropsychologist | 175 Progress St, Lincoln, RI 02865-3015 | 2007-04-24 |
| 1275668006 | East Bay Neurology Professional Corporation | Clinical Neuropsychologist | 333 School St Ste 216, Pawtucket, RI 02860 | 2007-02-22 |
| Find all providers with the same taxonomy | ||||
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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.