Individual provider Active NPI

Jayson John Spas, PHD, MS

  • Clinical Psychologist
  • Wakefield, RI
National Provider Identifier
1114126257
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS1451 Issued in RI
Practice address
14 Wild Rose CT
Wakefield, RI 02879-5480
Phone
(401) 445-4676
NPI assigned
Jul 17, 2007
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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 PS1451 RI Primary

Addresses

Primary practice location

14 Wild Rose CT
Wakefield, RI 02879-5480

Mailing address

14 Wild Rose CT
Wakefield, RI 02879-5480
Phone (401) 445-4676

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
I20151008000032 RI Practitioner - Clinical Psychologist 0042528218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Delta Consultants of South County IncGroup PAC ID 8426063553, 14 clinicians

Practice addresses (Care Compare)

24 Salt Pond Rd
D4
Wakefield, RI 02879-4334
Phone (401) 789-3694

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Consultants of South County Inc CurrentSince Aug 1, 2016 Accepting new patients
Align Physical Therapy CurrentSince Aug 1, 2016 Accepting new patients

Locations

24 Salt Pond Rd
Ste D4
Wakefield, RI 02879
Phone (401) 667-4965

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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1114126257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WILD ROSE CT",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028795480",
            "telephone_number": "401-445-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 WILD ROSE CT",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028795480",
            "telephone_number": "401-445-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAS",
        "first_name": "JAYSON",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PHD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS1451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

Verify at the official NPI Registry.