Individual provider Active NPI

Rachel A Simmons, PH.D.

  • Clinical Psychologist
  • Barrington, RI
National Provider Identifier
1174878003
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS01313 Issued in RI
Practice address
18 Maple Ave # 115
Barrington, RI 02806-3560
Phone
(401) 903-0449
Fax
(401) 223-9620
NPI assigned
Jul 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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 PS01313 RI Primary

Addresses

Primary practice location

18 Maple Ave # 115
Barrington, RI 02806-3560

Mailing address

18 Maple Ave # 115
Barrington, RI 02806-3560
Phone (401) 903-0449

Other identifiers 1

IdentifierTypeStateIssuer
PS01313OtherRIPROFESSIONAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 6, 2022 through Aug 6, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physicians LLC. Current Accepting new patients
Nene, LLC Clinical CurrentSince Jun 5, 2022 Accepting new patients
Rhode Island Hospital Past Accepting new patients

Locations

18 Maple Ave
#115
Barrington, RI 02806
Phone (401) 444-9883

593 Eddy St
#3
Providence, RI 02903
Phone (401) 444-3534

593 Eddy St
Providence, RI 02903

593 Eddy St
Rm 38
Providence, RI 02903
Phone (401) 444-4779

593 Eddy St
#970
Providence, RI 02903
Phone (401) 444-2128

Interoperability endpoints

  • Direct secure messaging: rasimmons@direct.carene.org

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": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1174878003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MAPLE AVE # 115",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028063560",
            "telephone_number": "401-903-0449",
            "fax_number": "401-223-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MAPLE AVE # 115",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028063560",
            "telephone_number": "401-903-0449",
            "fax_number": "401-223-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "RACHEL",
        "middle_name": "A",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS01313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "PS01313",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, RI

Sources for this page

Verify at the official NPI Registry.