DR. BETH C BOCK (NPI# 1750400404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750400404 |
| Entity Type | Individual |
| Full Name | DR. BETH C BOCK |
| Credential | PHD |
| Practice Address |
1 Hoppin St Coro Building, 5th Floor Providence RI 02903-4141 |
| Mailing Address |
44 Bishop St Attleboro MA 02703-3218 |
| Practice Telephone | 4017938020 |
| Practice Fax Number | 4017938078 |
| Mailing Telephone | 4017938020 |
| Mailing Fax Number | 4017938078 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PS00552 | RI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | PSYCHOLOGY LICENSE | PS00552 | 01 |
| Street Address |
1 HOPPIN ST CORO BUILDING, 5TH FLOOR |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02903-4141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679579338 | William T Mason | Internal Medicine | 1 Hoppin St, 3rd Floor, Providence, RI 02903-4141 | 2005-06-27 |
| 1578926952 | Karyn Hartz-mandell | Psychologist | 1 Hoppin St, Coro West, Suite 204, 2.115, Providence, RI 02903-4141 | 2016-04-01 |
| 1033589676 | Margaret Codispoti | Registered Nurse | 1 Hoppin St, 3rd Floor, Providence, RI 02903-4141 | 2015-09-25 |
| 1093121394 | Michael Walther | Psychologist | 1 Hoppin St, Suite 204, Providence, RI 02903-4141 | 2014-07-08 |
| 1508277013 | Maria Teresa Perez Carballo | Pediatrics | 1 Hoppin St, Providence, RI 02903-4141 | 2014-05-19 |
| 1609213669 | Jennifer Threatt Perry | Internal Medicine | 1 Hoppin St, Suite 200, Providence, RI 02903-4923 | 2013-05-31 |
| 1174878003 | Rachel A Simmons | Psychologist | 1 Hoppin St, Suite 2.030, Providence, RI 02903-4141 | 2012-07-17 |
| 1689935447 | L. Cinnamon Bidwell | Psychologist | 1 Hoppin St, Suite 204, Providence, RI 02903-4141 | 2012-06-07 |
| 1417218397 | Aliya Zul Jiwani | Ophthalmology | 1 Hoppin St, Coro West Suite 202, Providence, RI 02903-4141 | 2012-06-06 |
| 1770849242 | Kristen Michelle Benito | Psychologist | 1 Hoppin St, Suite 204, Providence, RI 02903-4141 | 2012-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
| 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 Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932133915 | Jannette Rey | Psychologist | 616 Hope St, Providence, RI 02906-2659 | 2006-07-10 |
| 1679570311 | David A Kahn | Psychologist | 188 Benefit St, Providence, RI 02903-1323 | 2005-07-07 |
| 1568758993 | Jeanne Kathleen Esler | Psychologist | 1086 Smith St, Providence, RI 02908-2738 | 2011-06-23 |
| 1255639910 | Jennifer Marie Primack | Psychologist | 345 Blackstone Blvd, Department of Psychosocial Research, Providence, RI 02906-4800 | 2011-03-04 |
| 1376878496 | David Lyon H. Lyon | Psychologist | 1086 Smith St, Providence, RI 02908-2738 | 2009-10-07 |
| 1275774010 | David Clifton Dove | Psychologist | 194 Waterman St, Suite 5, Providence, RI 02906-4015 | 2009-03-06 |
| 1417193863 | Megan Marie Kelly | Psychologist | 345 Blackstone Blvd, Providence, RI 02906-4800 | 2009-01-06 |
| 1134378003 | Nicole Christine Groskreutz | Psychologist | 521 Rockwood Cir, Providence, UT 84332-9477 | 2008-09-16 |
| 1487830014 | Gabriella Rothman | Psychologist | 154 Waterman St, Providence, RI 02906-3116 | 2008-01-14 |
| 1427269265 | Miriam Hospital | Psychologist | 1 Hoppin St, Coro Bldg., Behavioral Medicine Clinic, Providence, RI 02903-4141 | 2007-05-24 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02903 |
Please comment or provide details below to improve the information on DR. BETH C BOCK.
| 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.