Mohiuddin Ahmed, PHD

Individual provider Active NPI Psychologist · Woonsocket, RI

NPI 1124051032 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1124051032
Entity type
Individual (NPI type 1)
Primary specialty
Psychologist 103T00000X
License
PS00214 (RI)
Practice address
55 John a Cummings Way
Woonsocket, RI 02895-3247
Phone
(401) 235-7000
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
443MAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS00214 RI Yes

Addresses

Primary practice location

55 John a Cummings Way
Woonsocket, RI 02895-3247

Mailing address

57 Puddingstone LN
Bellingham, MA 02019-1228
Phone (508) 966-1342

Other identifiers

IdentifierTypeStateIssuer
406738OtherRIBLUE CHIP
MA03411MedicaidRI
0000030451OtherRIBLUE CROSS
UNITED HEALTHOtherRI6121177

Other providers in Woonsocket, RI

All providers in Woonsocket, RI · Psychologist in Rhode Island

Sources for this page

Verify at the official NPI Registry.