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SEASIDE PSYCHOLOGICAL SERVICES LLC NPI 1003281361


NPI Information

NPI: 1003281361
Provider Name: SEASIDE PSYCHOLOGICAL SERVICES, LLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
117 BELLEVUE AVE
201D
NEWPORT, RI
ZIP 02840
Phone: (401) 239-6895
Get Directions

SEASIDE PSYCHOLOGICAL SERVICES, LLC is a clinical psychologist in Newport, RI. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. SEASIDE PSYCHOLOGICAL SERVICES, LLC NPI is 1003281361. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

117 BELLEVUE AVE
201D
NEWPORT, RI
ZIP 02840-439
Phone: (401) 239-6895
Fax: (401) 849-3659

The provider's authorized official is Christopher Cunningham .
The authorized official title is Clinical Psychologist/owner and has the following contact phone number (401) 239-6895.

The enumeration date for this NPI number is 12/11/2015 and was last updated on 12/11/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalPS01410RHODE ISLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11972759975MEDICARE NSCRHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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