Samantha Gauvin

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS02030 Issued in RI

Practice address

382 Thayer St
Providence, RI 02906-1558

Phone

(401) 330-5882

NPI assigned

Feb 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Center for Dynamic and Behavioral Therapy LLC

  • Clinical Psychologist
  • Providence, RI
  • NPI 1790207876
  NPD

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1184123549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 THAYER ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029061558",
            "telephone_number": "401-330-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 THAYER ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029061558",
            "telephone_number": "401-330-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUVIN",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS02030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Gaul, D.O.
• Lisa Gaumond, LMHC
• Peter Raymond Gauthier, OTR/L
• Mark Ryan Gauvin, MS, MSPAS, RD, PA-C
• Paul Gauvin, P.T.
• Lauren Gavlick
• Sarah M Gay, PNP-BC
• Caitlin Marie Gayles
• Megan T. Gaynor Charette, NP
• Oghenetejiri Gbegbaje, M.D.

• Clinical Psychologist in Providence, RI
• Providers in Providence, 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 Dec 3, 2021; 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.