Jennifer L Dyl, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS00725 Issued in RI

Practice address

31 Smith Ave
Suite 2
Greenville, RI 02828-1730

Phone

(401) 339-1816

Fax

(401) 830-5729

NPI assigned

May 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276560000000",
    "number": "1114964350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SMITH AVE",
            "address_2": "SUITE 2",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028281730",
            "telephone_number": "401-339-1816",
            "fax_number": "401-830-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SMITH AVE",
            "address_2": "SUITE 2",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028281730",
            "telephone_number": "401-339-1816",
            "fax_number": "401-830-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYL",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2010-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS00725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "30156-5",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "408421",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Greenville, RI
• Providers in Greenville, 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 Jun 15, 2010; 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.