EMPOWERED LEGACY CENTER NPI 1710702204

NPI Information

  • NPI: 1710702204
  • Provider Name: EMPOWERED LEGACY CENTER
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Doing Business As: NONE
  • Address: 1200 HARTFORD AVE STE 3B
    JOHNSTON, RI
    ZIP 02919
  • Phone: (401) 263-0778

Map and Directions

Get Directions

NPI Details

EMPOWERED LEGACY CENTER is a clinical psychologist in Johnston, 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. EMPOWERED LEGACY CENTER NPI is 1710702204. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As None.

The provider's business location address is:

1200 HARTFORD AVE STE 3B
JOHNSTON, RI
ZIP 02919-143
Phone: (401) 263-0778

The provider's authorized official is Frank Luders Paul .
The authorized official title is Therapist and has the following contact phone number (401) 263-0778.

The enumeration date for this NPI number is 11/19/2024 and was last updated on 12/6/2024.

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
1103TC0700XPsychologistClinicalYes
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI