Unknown Individual – Psychologist, NPI 1609882893
Psychologist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
24, Salt Pond Road, Wakefield, South Kingstown, South County, Rhode Island, 02879, United States
SUITE D4
WAKEFIELD, RI 02879
Phone: (401) 789-3694
Fax: (401) 789-3748
Type: Location
216, Gray Craig Road, Middletown, Newport County, Rhode Island, 02842, United States
MIDDLETOWN, RI 02879
Phone: (401) 849-7839
Fax: (401) 789-3748
Type: Mailing
NPPES updates history
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Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 46 | 11 | $0 |
Insurance plans in this area (ZIP 02879)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | RI | |
| Nurse Practitioner | RI | |
| Clinical Social Worker | RI | |
| Clinical Psychologist | RI | |
| - | RI | |
| Clinical Psychologist | RI | |
| Clinical Social Worker | RI | |
| Clinical Social Worker | RI | |
| Clinical Social Worker | RI | |
| Clinical Social Worker | RI |
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