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

Dr. Kelley Harrison Pistacchio, PHD

Individual provider Psychologist · NPI 1780713735

Dr. Kelley Harrison Pistacchio, PHD is a Psychologist in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2007.

Licensed in
RI
In the registry since
2007
Specialties on file
6
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

610 Manton Ave
Providence, RI 02909-5633
Phone: (401) 274-6310
Fax: (401) 421-1977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Group Psychotherapy Psychologist (primary) Taxonomy 103TP2701X · Licence PS00680 (RI)
Psychologist Taxonomy 103T00000X · Licence PS00680 (RI)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence PS00680 (RI)
Clinical Psychologist Taxonomy 103TC0700X · Licence PS00680 (RI)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence PS00680 (RI)
Intellectual & Developmental Disabilities Psychologist Taxonomy 103TM1800X · Licence PS00680 (RI)

Record details

NPI number1780713735
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 5, 2007
Last updated in NPPESSeptember 11, 2025

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