Individual provider Active NPI

Nicole Morreo, LP

  • Clinical Psychologist
  • Riverside, RI
National Provider Identifier
1174007900
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS01993 Issued in RI
Practice address
1275 Wampanoag TRL Ste 9
Riverside, RI 02915-1217
Phone
(401) 352-8440
NPI assigned
Sep 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 10902 MA
Clinical Psychologist 103TC0700X PS01993 RI Primary

Addresses

Primary practice location

1275 Wampanoag TRL Ste 9
Riverside, RI 02915-1217

Mailing address

1275 Wampanoag TRL Ste 9
Riverside, RI 02915-1217
Phone (401) 352-8440

Other names 1

  • Dr. Nicole Morreo Professional name

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
I20250218000757 RI Practitioner - Clinical Psychologist 8628468154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS01993RIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brainwise LLC Clinical CurrentSince Dec 21, 2025 Accepting new patients

Locations

1275 Wampanoag Trl
Ste 9
Riverside, RI 02915
Phone (401) 352-8440

1275 Wampanoag Trl
Riverside, RI 02915
Phone (401) 405-0700

Organizations & group practices 1

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": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1174007900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 WAMPANOAG TRL STE 9",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029151217",
            "telephone_number": "401-352-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 WAMPANOAG TRL STE 9",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029151217",
            "telephone_number": "401-352-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORREO",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10902",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS01993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MORREO",
            "prefix": "DR.",
            "credential": "LP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Riverside, RI

Sources for this page

Verify at the official NPI Registry.