Susan Elisabet Enck, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS02005 Issued in RI

Practice address

43 Jefferson Blvd
Warwick, RI 02888-1027

Phone

(401) 941-2830

Fax

(401) 941-6886

NPI assigned

Jun 28, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, RI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Medical Physicians IncGroup PAC ID 0345658316, 222 clinicians

Brown MedicineGroup PAC ID 0446159776, 220 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brown Medicine

  • Internal Medicine Physician
  • Riverside, RI
  • NPI 1689626764

  Clinical

  Medicare reassignment Care Compare group NPD
• Coastal Medical Physicians, Inc.

  • Internal Medicine Physician
  • Providence, RI
  • NPI 1780273540
  Medicare reassignment Care Compare group NPD
• Lifespan Physician Group, Inc.

  • General Practice Physician
  • Providence, RI
  • NPI 1407116643
  Medicare reassignment
• Westside Behavioral Health, LLC

  • Clinical Social Worker
  • Brockton, MA
  • NPI 1689720302
  Medicare reassignment
• Brown Medicine

  • Clinical Psychologist
  • Riverside, RI
  • NPI 1467190496
  NPD
• Brown Medicine

  • Gastroenterology Physician
  • Providence, RI
  • NPI 1730827767
  NPD
• Coastal Medical Physicians, Inc.

  • Internal Medicine Physician
  • Riverside, RI
  • NPI 1093678104

  Clinical

  NPD
• Lifespan Physician Group, Inc.

  • General Practice Physician
  • Riverside, RI
  • NPI 1215899869
  NPD
• Lifespan Physician Group, Inc.

  • Emergency Medicine Physician
  • Providence, RI
  • NPI 1568325678
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1003170580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LA SALLE SQ",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029031814",
            "telephone_number": "401-444-6779",
            "fax_number": "401-444-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 JEFFERSON BLVD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028881027",
            "telephone_number": "401-941-2830",
            "fax_number": "401-941-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENCK",
        "first_name": "SUSAN",
        "middle_name": "ELISABET",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS02005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ellis, PT
• Robert G Ellison, M.D.
• Rebecca Elsing, LMHC
• Mary Karen Emanuel, PA-C
• Stacey L Emmett, RN
• Endovascular & Interventional Associates Inc
• Faith E Engelmann
• Ray English Jr., DMD
• Enos Chiropractic Center Inc
• Brendan Enos, PT

• Clinical Psychologist in Warwick, RI
• Providers in Warwick, RI by specialty
• Clinical Psychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.