JAYSON SPAS – Marriage & Family Therapist, NPI 1114126257

JAYSON SPAS is a healthcare provider. based in Wakefield, Rhode Island. specializing in CLINICAL PSYCHOLOGIST. The NPI Number for JAYSON SPAS is 1114126257

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
JAYSON SPAS
NPI
1114126257
Phone
(401) 789-3694
Address
24 SALT POND RD
Enumeration Date
17 July 2007
Last Update Date
11 June 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4017893694
Graduation Year
2012 (14 years ago)
PAC ID
0042528218
Group Practice PAC ID
8426063553
Professional Enrollment ID
I20151008000032
Address ID
RI028794334WA24XXXRDXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:18State licenses:0Digital endpointsOther names

251 CLINICAL PSYCHOLOGIST in RI

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Provider Addresses for JAYSON SPAS

  • 24, Salt Pond Road, Wakefield, South Kingstown, South County, Rhode Island, 02879, United States

    SUITE D-4

    WAKEFIELD, RI 028794314

    Phone: (401) 789-3694

    Fax: (401) 789-3748

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-10-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151008000032IClinical PsychologistRITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02879)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426063553View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to JAYSON SPAS?
NPI 1114126257 is assigned to JAYSON SPAS under the national enumeration system.
Is JAYSON SPAS's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does JAYSON SPAS work in?
You can think of JAYSON SPAS as practicing within Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
Where is JAYSON SPAS's primary listing?
We display Wakefield, Rhode Island because that is what the record indicates for JAYSON SPAS.
How can I contact JAYSON SPAS?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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