Individual provider Active NPI

John Paul Carvalho, PH.D.

  • Clinical Psychologist
  • Woonsocket, RI
National Provider Identifier
1033375829
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS01326 Issued in RI
Practice address
68 Cumberland St
Suite 102
Woonsocket, RI 02895-3300
Phone
(401) 356-1940
Fax
(401) 356-1949
NPI assigned
Aug 1, 2008
Last updated
Sep 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS01326 RI Primary

Addresses

Primary practice location

68 Cumberland St
Suite 102
Woonsocket, RI 02895-3300

Mailing address

68 Cumberland St
Suite 102
Woonsocket, RI 02895-3300
Phone (401) 356-1940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20211130000636 RI Practitioner - Clinical Psychologist 9436549896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Tennessee, HSC, College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Community Health CareGroup PAC ID 1355250663, 35 clinicians

Practice addresses (Care Compare)

308 Callahan Rd
North Kingstown, RI 02852-7739
Phone (401) 295-9706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Community Health Care CurrentSince Nov 1, 2021 Accepting new patients
Northwest Community Health Care Current Accepting new patients
Northwest Community Health Care CurrentSince Nov 1, 2021 Accepting new patients

Locations

308 Callahan Rd
North Kingstown, RI 02852
Phone (401) 295-9706

36 Bridge Way
Pascoag, RI 02859
Phone (401) 567-0800

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1033375829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 CUMBERLAND ST",
            "address_2": "SUITE 102",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028953300",
            "telephone_number": "401-356-1940",
            "fax_number": "401-356-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CUMBERLAND ST",
            "address_2": "SUITE 102",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028953300",
            "telephone_number": "401-356-1940",
            "fax_number": "401-356-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVALHO",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-01",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS01326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

Verify at the official NPI Registry.