Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Providence Behavioral Health Associates Inc

Organization Clinical Psychologist · NPI 1023142700

Providence Behavioral Health Associates Inc is a Clinical Psychologist in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2007.

Licensed in
RI
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1075 Smith St
Providence, RI 02908-2700
Phone: (401) 369-9224
Fax: (401) 369-9275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS00948 (RI)

Record details

NPI number1023142700
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Todaro — Clinical Psychologist · (401) 369-9224
NPI enumeratedMarch 15, 2007
Last updated in NPPESMay 4, 2021
Certification dateMay 4, 2021
Mailing address1075 Smith St, Providence, RI 02908-2700

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