Frederick Psychological Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS01388 Issued in RI

Legal business name

FREDERICK PSYCHOLOGICAL SERVICES, LLC

Practice address

2639 S County TRL
East Greenwich, RI 02818-1727

Phone

(401) 214-8558

Fax

(401) 214-3047

NPI assigned

Aug 27, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Rebecca Frederick, PSY.D

Title

Owner

Phone

(401) 214-8558

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marisa Ann Singleton, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pawtucket, RI
  • NPI 1952618720
  NPD (past)

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1073094181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 S COUNTY TRL",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181727",
            "telephone_number": "012-148-5584",
            "fax_number": "401-214-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 S COUNTY TRL",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181727",
            "telephone_number": "401-214-8558",
            "fax_number": "401-214-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-214-8558",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS01388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn E Ford, RN
• Vincent Forleo, MS
• Christine Annette Forte, LICSW
• Kelsie Nichelle Foster, PH.D CRC
• Tracey Lee Foster, DPT
• Rebecca Anne Frederick
• Patrice Mary French, RNP
• David Fried, MD
• Lauri K. Friedman, PT
• Frye Family Chiropractic

• Clinical Psychologist in East Greenwich, RI
• Providers in East Greenwich, RI by specialty
• Clinical Psychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.