Active NPI
Joanne Louise Doucette, ED.D.
- Psychologist
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS00558
- Practice address
- 111 Wayland Avenue
Lower Level
Providence, RI 02906-1039 - Phone
- (401) 871-0501
- Fax
- (401) 714-0418
- NPI assigned
- Jul 31, 2006
- Last updated
- Aug 20, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | PS00558 | RI | |
| Psychologist | 103T00000X | PS00558 | RI | Primary |
Addresses
Primary practice location
111 Wayland Avenue
Lower Level
Providence, RI 02906-1039
Mailing address
111 Wayland Ave Level
Providence, RI 02906-4371
Phone (401) 871-0501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Boston University School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
154 Waterman St
Suite 11
Providence, RI 02906-3116
Phone (401) 286-1134
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS00558 | RI | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diversity Counseling LLC | Current | Accepting new patients |
Locations
111 Wayland Ave
Providence, RI 02906
Phone (401) 396-7649
111 Wayland Ave
Lowr
Providence, RI 02906
Phone (401) 871-0501
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- Providence, RI
- NPI 1104051176
-
- Addiction (Substance Use Disorder) Counselor
- Cranston, RI
- NPI 1033868930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440028800000",
"number": "1245246222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 WAYLAND AVE LEVEL",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029064371",
"telephone_number": "401-871-0501",
"fax_number": "401-714-0418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 WAYLAND AVENUE",
"address_2": "LOWER LEVEL",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029061039",
"telephone_number": "401-871-0501",
"fax_number": "401-714-0418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUCETTE",
"first_name": "JOANNE",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2015-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "RI",
"license": "PS00558",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "RI",
"license": "PS00558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.