Northeast Child and Adolescent Psychological Services

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS01318 Issued in RI

Legal business name

NORTHEAST CHILD AND ADOLESCENT PSYCHOLOGICAL SERVICES

Practice address

132 Old River Rd
Suite 205
Lincoln, RI 02865-1161

Phone

(401) 527-8089

Fax

(401) 333-3370

NPI assigned

Jun 7, 2013

Last updated

Jun 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robin Bertuglia, PH.D.

Title

Owner/ Psychologist

Phone

(401) 527-8089

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1073951448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 OLD RIVER RD",
            "address_2": "SUITE 205",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651161",
            "telephone_number": "401-527-8089",
            "fax_number": "401-333-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 OLD RIVER RD",
            "address_2": "SUITE 205",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651161",
            "telephone_number": "401-527-8089",
            "fax_number": "401-333-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST CHILD AND ADOLESCENT PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "BERTUGLIA",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER/ PSYCHOLOGIST",
        "authorized_official_telephone_number": "401-527-8089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "RI",
            "license": "PS01318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Lincoln, RI
• Providers in Lincoln, RI by specialty
• Psychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.