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COMMUNITY AND SCHOOL SUPPORT SERVICES NPI 1962912923


NPI Information

NPI: 1962912923
Provider Name: COMMUNITY AND SCHOOL SUPPORT SERVICES
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
62 GESLER ST
PROVIDENCE, RI
ZIP 02909
Phone: (401) 831-2794
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COMMUNITY AND SCHOOL SUPPORT SERVICES is a clinical psychologist in Providence, 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. COMMUNITY AND SCHOOL SUPPORT SERVICES NPI is 1962912923. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

62 GESLER ST
PROVIDENCE, RI
ZIP 02909-506
Phone: (401) 831-2794
Fax: (401) 490-0548

The provider's authorized official is Mark Dumas .
The authorized official title is President and has the following contact phone number (401) 447-4616.

The enumeration date for this NPI number is 10/4/2017 and was last updated on 10/4/2017.


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
1101YM0800XCounselorMental HealthNo
2103T00000XPsychologistNo
3103TC0700XPsychologistClinicalYes
41041C0700XSocial WorkerClinicalNo

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
1BE14779MEDICAIDRHODE 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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