Dr Jacqueline Jackson Kikuchi, PHD in Providence, RI

Dr Jacqueline Jackson Kikuchi, PHD is a medicare enrolled "Psychologist" provider in Providence, Rhode Island. Her current practice location is 830 Chalkstone Ave, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 273-7100.

Dr Jacqueline Jackson Kikuchi is licensed to practice in Rhode Island (license number PS01335) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1851403455.

Contact Information

	Dr Jacqueline Jackson Kikuchi, PHD
	830 Chalkstone Ave, Providence, RI 02908-4734
	(401) 273-7100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jacqueline Jackson Kikuchi
Gender	Female
Speciality	Psychologist
Location	830 Chalkstone Ave, Providence, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851403455
Provider Enumeration Date: 08/31/2006
Last Update Date: 02/14/2025

Medicare PECOS Information:

PECOS PAC ID: 7911427844
Enrollment ID: I20250224000453

Medical Identifiers

Medical identifiers for Dr Jacqueline Jackson Kikuchi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851403455	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PS01335 (Rhode Island)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jacqueline Jackson Kikuchi allows following entities to bill medicare on her behalf.

Entity Name	Child And Family Psychiatry Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760863229 PECOS PAC ID: 5294173464 Enrollment ID: O20240406000126

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jacqueline Jackson Kikuchi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jacqueline Jackson Kikuchi, PHD 43 Royal Dr, West Warwick, RI 02893-5424 Ph: (401) 826-1065	Dr Jacqueline Jackson Kikuchi, PHD 830 Chalkstone Ave, Providence, RI 02908-4734 Ph: (401) 273-7100

Reviews and Comments

Psychologist in Providence, RI

Julie Elizabeth Morris, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 146 W River St, Suite 11a, Providence, RI 02904 Phone: 401-793-8770 Fax: 401-793-8709
Alexandrea L Craft, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 50 Holden St, Providence, RI 02908 Phone: 401-453-7640 Fax: 401-453-7646
Dr. Livia Freier, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 38 N Court St, Providence, RI 02903 Phone: 401-484-7050
Debra J Lobato-barrera, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Hoppin St, Suite 204, Providence, RI 02903 Phone: 401-444-8945 Fax: 401-444-8742
Mrs. Gladys V Rezendes, MSW LICSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 118 Comstock Avenue, Providence, RI 02907 Phone: 401-621-5882 Fax: 501-621-8463
Mrs. Rhonda L Sabo, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 341 Broadway, Providence, RI 02909 Phone: 401-453-5100
Dr. Andrew Jonah Taytslin, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1 Richmond Sq Ste 300e, Providence, RI 02906 Phone: 401-349-3131

Dr Jacqueline Jackson Kikuchi, PHD - Medicare Psychologist in Providence, RI