Individual provider Active NPI

Rebecca Pearlson, PSY.D.

  • Clinical Psychologist
  • N Kingstown, RI
National Provider Identifier
1154721736
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS01668 Issued in RI
Practice address
1130 Ten Rod Rd Ste E305
N Kingstown, RI 02852-4176
Phone
(401) 294-0451
NPI assigned
Sep 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Psychologist 103TC0700X PS01668 RI Primary

Addresses

Primary practice location

1130 Ten Rod Rd Ste E305
N Kingstown, RI 02852-4176

Mailing address

217 Duncaster Rd
Bloomfield, CT 06002-1140

Other practice location 1

1485 S County Trl Unit 107
East Greenwich, RI 02818-1771
Phone (401) 785-0040

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
I20220617002042 RI Practitioner - Clinical Psychologist 8224417423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Child and Family Psychiatry, Inc.Group PAC ID 5294173464, 90 clinicians

Practice addresses (Care Compare)

1485 S County TRL
Unit 107
East Greenwich, RI 02818-1771
Phone (401) 785-0040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS01668RIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Jan 25, 2024 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Jan 25, 2024 Accepting new patients
Child and Family Psychiatry, Inc. Mental Health CurrentSince May 14, 2026 Accepting new patients

Locations

1485 S County Trl
Unit 107
East Greenwich, RI 02818
Phone (401) 258-1621

400 Massasoit Ave
Ste 305
East Providence, RI 02914
Phone (401) 268-5218

1130 Ten Rod Rd
Ste E305
North Kingstown, RI 02852
Phone 4012940451824

1130 Ten Rod Rd
North Kingstown, RI 02852
Phone (401) 268-3886

1130 Ten Rod Rd
Bldg E
North Kingstown, RI 02852

Interoperability endpoints

  • Direct secure messaging: rebecca.pearlson.1@28623.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1154721736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 DUNCASTER RD",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060021140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD STE E305",
            "city": "N KINGSTOWN",
            "state": "RI",
            "postal_code": "028524176",
            "telephone_number": "401-294-0451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1485 S County Trl Unit 107",
            "address_purpose": "LOCATION",
            "city": "East Greenwich",
            "state": "RI",
            "postal_code": "028181771",
            "country_code": "US",
            "telephone_number": "401-785-0040",
            "fax_number": "401-941-7847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARLSON",
        "first_name": "REBECCA",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-02",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS01668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Kingstown, RI

Sources for this page

Verify at the official NPI Registry.