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SOUTH COUNTY CHILD & FAMILY CONSULTANTS NPI 1467515957


NPI Information

NPI: 1467515957
Provider Name: SOUTH COUNTY CHILD & FAMILY CONSULTANTS
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

CLIA Number: 41D0083010

Address:
1058 KINGSTOWN RD
PEACE DALE, RI
ZIP 02879
Phone: (401) 789-1553
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SOUTH COUNTY CHILD & FAMILY CONSULTANTS is a clinical psychologist in Peace Dale, 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. SOUTH COUNTY CHILD & FAMILY CONSULTANTS NPI is 1467515957. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1058 KINGSTOWN RD
PEACE DALE, RI
ZIP 02879-487
Phone: (401) 789-1553
Fax: (401) 782-1313

The provider's authorized official is I. Randy Kulman .
The authorized official title is President and has the following contact phone number (401) 789-1553.

The CLIA number assigned to this NPI record is 41D0083010 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 8/22/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinicalPS00313RHODE 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1RK02108MEDICAIDRHODE 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: 5/5/2024

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