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

Chonlada Jarukitisakul, PHD

Individual provider Psychologist · NPI 1962024869

Chonlada Jarukitisakul, PHD is a Clinical Psychologist in Providence, Rhode Island. Qualified in 2018, 8 years ago. Practices as a sole proprietor. Licensed in Massachusetts and Rhode Island.

Years since qualifying
8
Licensed in
MA, RI
In the registry since
2020
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

450 Brook St
Providence, RI 02906
Phone: (401) 863-3476
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PS01791 (RI)
Psychologist Taxonomy 103T00000X · Licence 11069-PY-PR (MA)
Psychologist Taxonomy 103T00000X

Record details

NPI number1962024869
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedMay 13, 2020
Last updated in NPPESAugust 28, 2025
Certification dateAugust 28, 2025
Mailing address69 Brown Street Box 1960, Providence, RI 02912-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Providence