| Rhode Island Psychology, Llc | |
|
989 Reservoir Ave Ste 104 Cranston RI 02910-5138 | |
| (401) 424-1846 | |
| (401) 572-3364 |
| Full Name | Rhode Island Psychology, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 989 Reservoir Ave Ste 104, Cranston, Rhode Island |
| Authorized Official Name and Position | Michael Schaffer (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4014241846 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rhode Island Psychology, Llc 989 Reservoir Ave Ste 104 Cranston RI 02910-5138 Ph: (401) 424-1846 | Rhode Island Psychology, Llc 989 Reservoir Ave Ste 104 Cranston RI 02910-5138 Ph: (401) 424-1846 |
| NPI Number | 1912461005 |
|---|---|
| Provider Enumeration Date | 01/23/2019 |
| Last Update Date | 12/21/2021 |
| Certification Date | 12/21/2021 |
| Medicare PECOS PAC ID | 8325439805 |
|---|---|
| Medicare Enrollment ID | O20211216000911 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912461005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Michael Eric Schaffer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376784827 PECOS PAC ID: 8820266539 Enrollment ID: I20211229001055 |
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