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

Katherine Tezanos, PHD

Individual provider Clinical Psychologist · NPI 1700601424

Katherine Tezanos, PHD is a Clinical Psychologist in Providence, Rhode Island. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Rhode Island.

Years since qualifying
4
Licensed in
RI
In the registry since
2024
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

1 Hoppin St Ste 204
Providence, RI 02903-4141
Phone: (401) 444-8945
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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 PS02310 (RI)

Record details

NPI number1700601424
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedNovember 18, 2024
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025
Mailing address117 Ellenfield St Ste 101, Providence, RI 02905-4541

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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