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

Jennifer Marie Primack, PHD

Individual provider Cognitive & Behavioral Psychologist · NPI 1255639910

Jennifer Marie Primack, PHD is a Cognitive & Behavioral Psychologist in Providence, Rhode Island. Practices as a sole proprietor. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2011
Specialties on file
2
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

345 Blackstone Blvd Dept OF Psychosocial Research
Providence, RI 02906-4800
Phone: (401) 455-6336
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS01130 (RI)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence PS01130 (RI)

Record details

NPI number1255639910
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 4, 2011
Last updated in NPPESMarch 4, 2011

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