Organization Active NPI

Psychological Support Services

  • Cognitive & Behavioral Psychologist
  • Cranston, RI
National Provider Identifier
1023173499
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
PS00945 Issued in RI
Legal business name
PSYCHOLOGICAL SUPPORT SERVICES
Practice address
1020 Park Ave
Suite 213
Cranston, RI 02910-3227
Phone
(401) 808-0070
NPI assigned
Dec 26, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Andrea Melinda Chait, PH.D.NPI 1477629962
Title
President
Phone
(401) 615-5384

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS00945 RI
Cognitive & Behavioral Psychologist 103TB0200X PS00945 RI Primary
Clinical Child & Adolescent Psychologist 103TC2200X PS00945 RI
School Psychologist 103TS0200X PS00945 RI

Addresses

Primary practice location

1020 Park Ave
Suite 213
Cranston, RI 02910-3227

Mailing address

57 Knotty Oak SHRS
Coventry, RI 02816-7940
Phone (401) 615-5384

National Provider Directory

National Provider Directory
Tax ID family
Momentum Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1023173499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 KNOTTY OAK SHRS",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028167940",
            "telephone_number": "401-615-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 PARK AVE",
            "address_2": "SUITE 213",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029103227",
            "telephone_number": "401-808-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CHAIT",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "MELINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-615-5384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "RI",
            "license": "PS00945",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "RI",
            "license": "PS00945",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "RI",
            "license": "PS00945",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "RI",
            "license": "PS00945",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.