Active NPI
Allison Mattison, PSYD
- Clinical Psychologist
- North Kingstown, RI
National Provider Identifier
1184957482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS01285
- Practice address
- 1130 Ten Rod Rd.
Suite E101
North Kingstown, RI 02852 - Phone
- (401) 921-5400
- Fax
- (401) 921-5402
- NPI assigned
- Sep 18, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Psychologist | 103TC0700X | PS01285 | RI | Primary |
Addresses
Primary practice location
1130 Ten Rod Rd.
Suite E101
North Kingstown, RI 02852
Mailing address
1130 Ten Rod Rd.
Suite E101
North Kingstown, RI 02852
Phone (401) 921-5400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS01285 | RI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychotherapy Practice of North Kingstown | Clinical | Past | Accepting new patients |
| Maria Eguia-Brusco, PH.D LTD. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychologist
- North Kingstown, RI
- NPI 1912201682
-
- Clinical Psychologist
- North Kingstown, RI
- NPI 1720491871
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407715200000",
"number": "1184957482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 TEN ROD RD.",
"address_2": "SUITE E101",
"city": "NORTH KINGSTOWN",
"state": "RI",
"postal_code": "02852",
"telephone_number": "401-921-5400",
"fax_number": "401-921-5402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 TEN ROD RD.",
"address_2": "SUITE E101",
"city": "NORTH KINGSTOWN",
"state": "RI",
"postal_code": "02852",
"telephone_number": "401-921-5400",
"fax_number": "401-921-5402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTISON",
"first_name": "ALLISON",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-18",
"last_updated": "2014-08-11",
"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": "PS01285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Kingstown, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.