Individual provider Active NPI

Nicholas D Giardino, PHD

  • Clinical Psychologist
  • Providence, RI
National Provider Identifier
1235216854
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS01544 Issued in RI
Practice address
2 Charles St Ste A2-4
Providence, RI 02904-2269
Phone
(774) 264-8050
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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 6301013090 MI
Clinical Psychologist 103TC0700X PS01544 RI Primary

Addresses

Primary practice location

2 Charles St Ste A2-4
Providence, RI 02904-2269

Mailing address

625 Dufranc Ave
Sebastopol, CA 95472-3342
Phone (734) 330-1069

Other practice location 1

130 Petaluma Ave Ste 2B
Sebastopol, CA 95472-4234
Phone (707) 360-2090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201201000142 RI Practitioner - Clinical Psychologist 0244245231 Practice locations: Providence, RI
I20260216001786 CA Practitioner - Clinical Psychologist 0244245231 Practice locations: Sebastopol, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

130 Petaluma Ave
Suite 2B
Sebastopol, CA 95472-4234
Phone (707) 360-2090

625 Dufranc Ave
Sebastopol, CA 95472-3342

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6301013090MIMDClinical Psychologist
36189CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nicholas Giardino PHD Psychology PC Clinical CurrentSince Dec 7, 2025 Accepting new patients

Locations

130 Petaluma Ave
Ste 2B
Sebastopol, CA 95472
Phone (707) 360-2090

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1235216854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 DUFRANC AVE",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723342",
            "telephone_number": "734-330-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CHARLES ST STE A2-4",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029042269",
            "telephone_number": "774-264-8050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Petaluma Ave Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Sebastopol",
            "state": "CA",
            "postal_code": "954724234",
            "country_code": "US",
            "telephone_number": "707-360-2090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIARDINO",
        "first_name": "NICHOLAS",
        "middle_name": "D",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013090",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS01544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.