Organization Active NPI

Seaside Psychological Services, LLC

  • Clinical Psychologist
  • Newport, RI
National Provider Identifier
1003281361
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS01410 Issued in RI
Legal business name
SEASIDE PSYCHOLOGICAL SERVICES, LLC
Practice address
117 Bellevue Ave
201D
Newport, RI 02840-7439
Phone
(401) 239-6895
Fax
(401) 849-3659
NPI assigned
Dec 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Authorized official

Name
Dr. Christopher Cunningham, PSY.D.
Title
Clinical Psychologist/Owner
Phone
(401) 239-6895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PS01410 RI Primary

Addresses

Primary practice location

117 Bellevue Ave
201D
Newport, RI 02840-7439

Mailing address

117 Bellevue Ave
201D
Newport, RI 02840-7439
Phone (401) 239-6895

National Provider Directory

National Provider Directory

Locations

117 Bellevue Ave
#201D
Newport, RI 02840
Phone (401) 239-6895

NPI Registry JSON

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1003281361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 BELLEVUE AVE",
            "address_2": "201D",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028407439",
            "telephone_number": "401-239-6895",
            "fax_number": "401-849-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 BELLEVUE AVE",
            "address_2": "201D",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028407439",
            "telephone_number": "401-239-6895",
            "fax_number": "401-849-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "401-239-6895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS01410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.