Active NPI
Kathe A Jaret, PHD
- Clinical Psychologist
- Peace Dale, RI
National Provider Identifier
1245240613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 401
- Practice address
- 23 North Rd
Peace Dale, RI 02879-2176 - Phone
- (401) 789-8244
- NPI assigned
- Aug 9, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 401 | RI | Primary |
Addresses
Primary practice location
23 North Rd
Peace Dale, RI 02879-2176
Mailing address
23 North Rd
Peace Dale, RI 02879-2176
Phone (401) 789-8244
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205195 | Other | RI | BLUE CHIP # |
| 3551-6 | Other | RI | RI BLUE CROSS # |
| 143452 | Other | RI | MAGELLAN PROVIDER # |
| 1021280 | Other | RI | BEACON HEALTH # |
| 61-00184 | Other | RI | UNITED HEALTH PROVIDER # |
| 9003551 | Other | RI | EDS PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 401 | RI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245240613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 NORTH RD",
"city": "PEACE DALE",
"state": "RI",
"postal_code": "028792176",
"telephone_number": "401-789-8244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 NORTH RD",
"city": "PEACE DALE",
"state": "RI",
"postal_code": "028792176",
"telephone_number": "401-789-8244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARET",
"first_name": "KATHE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "RI",
"license": "401",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP #",
"identifier": "205195",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI BLUE CROSS #",
"identifier": "3551-6",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN PROVIDER #",
"identifier": "143452",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON HEALTH #",
"identifier": "1021280",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH PROVIDER #",
"identifier": "61-00184",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDS PROVIDER #",
"identifier": "9003551",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Peace Dale, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.