Active NPI
David Lichtenstein, PH.D.
- Psychologist
- Riverside, RI
National Provider Identifier
1043892649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS01135
- Practice address
- 1011 Veterans Memorial Pkwy
Riverside, RI 02915-5099 - Phone
- (401) 432-1000
- NPI assigned
- Apr 22, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS01135 | RI | Primary |
| Counseling Psychologist | 103TC1900X | 001135 | RI |
Addresses
Primary practice location
1011 Veterans Memorial Pkwy
Riverside, RI 02915-5099
Mailing address
1011 Veterans Memorial Pkwy
Riverside, RI 02915-5099
Phone (401) 432-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001135 | Other | RI | RHODE ISLAND DEPARTMENT OF HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS01135 | RI | MD | Psychologist |
| 001135 | RI | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1043892649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 VETERANS MEMORIAL PKWY",
"city": "RIVERSIDE",
"state": "RI",
"postal_code": "029155099",
"telephone_number": "401-432-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 VETERANS MEMORIAL PKWY",
"city": "RIVERSIDE",
"state": "RI",
"postal_code": "029155099",
"telephone_number": "401-432-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LICHTENSTEIN",
"first_name": "DAVID",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-22",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "RI",
"license": "PS01135",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "RI",
"license": "001135",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RHODE ISLAND DEPARTMENT OF HEALTH",
"identifier": "001135",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Riverside, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.