NPIMap

Organization Active NPI

Anderson-Squires, LLC

  • Clinical Psychologist
  • Warwick, RI
National Provider Identifier
1053740035
Registry record updated Apr 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS00980 Issued in RI
Legal business name
ANDERSON-SQUIRES, LLC
Practice address
875 Centerville Rd
Unit 2
Warwick, RI 02886-4381
Phone
(401) 474-3595
NPI assigned
Nov 11, 2013
Last updated
Apr 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2017

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

Authorized official

Name
Dr. Daniel Squires, PHD, MPHNPI 1902961642
Title
Clinical Psychologist; Co-Owner
Phone
(401) 474-4004

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS00980 RI Primary
Clinical Social Worker 1041C0700X CSW01370 RI

Addresses

Primary practice location

875 Centerville Rd
Unit 2
Warwick, RI 02886-4381

Mailing address

PO Box 367
Wakefield, RI 02880-0367
Phone (401) 474-3595

Other identifiers 1

IdentifierTypeStateIssuer
1902961642OtherRITYPE 1 NPI

National Provider Directory

National Provider Directory

Locations

875 Centerville Rd
Unit 2
Warwick, RI 02886
Phone (401) 529-9921

Practitioners & affiliated clinicians

Practitioners 2

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": "1384128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493424000000",
    "number": "1053740035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028800367",
            "telephone_number": "401-474-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 CENTERVILLE RD",
            "address_2": "UNIT 2",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864381",
            "telephone_number": "401-474-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON-SQUIRES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-11",
        "last_updated": "2017-04-29",
        "status": "A",
        "authorized_official_last_name": "SQUIRES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST; CO-OWNER",
        "authorized_official_telephone_number": "401-474-4004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, MPH"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS00980",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW01370",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1902961642",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2017; 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.