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

Ethan Moitra, PHD

Individual provider Clinical Psychologist · NPI 1699046276

Ethan Moitra, PHD is a Clinical Psychologist in East Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2012.

Licensed in
RI
In the registry since
2012
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 →

Practice location Address checks out

400 Massasoit Ave Ste 305 Ricbt
East Providence, RI 02914-2012
Phone: (401) 294-0451
Fax: (401) 294-0461
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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 PS01274 (RI)

Record details

NPI number1699046276
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJanuary 13, 2012
Last updated in NPPESJanuary 13, 2012
Mailing address400 Massasoit Ave Ste 305, Ricbt, East Providence, RI 02914-2012

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