Southcoast Psychology,Inc

LBN: Southcoast Psychology,Inc
Southcoast Psychology,Inc is an health care organization with primary practice located at 154 Waterman Street 3Rd Floor West, Providence RI 02906. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Southcoast Psychology,Inc can be contacted via phone (401) 241-2059, or through Petrouski, Thomas J. via phone (508) 644-1210.

Contact Information

Primary practice address
154 Waterman Street 3Rd Floor West Providence RI 02906
Phone: (401) 241-2059
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Petrouski, Thomas J. PSY.D.
Phone: (508) 644-1210

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS00719 Rhode Island

Profile Details

NPI number 1689886194
LBN Legal business name Southcoast Psychology,Inc
DBA Doing business as
Authorized official Petrouski, Thomas J. PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689886194 NPPES
Rhode Island MEDICAID #SS11558

Popular Providers