Individual provider Active NPI

Jose A Saporta Jr., MD

  • Psychiatry Physician
  • Providence, RI
National Provider Identifier
1265417703
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
59181 Issued in MA
Practice address
205 Governor St # 11
Providence, RI 02906-3221
Phone
(401) 680-9008
Fax
(401) 489-7893
NPI assigned
Dec 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 59181 MA Primary

Addresses

Primary practice location

205 Governor St # 11
Providence, RI 02906-3221

Mailing address

205 Governor St # 11
Providence, RI 02906-3221
Phone (401) 680-9008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050426001360 MA Practitioner - Psychiatry 2062451354 Practice locations: Newton, MA
I20210302000891 RI Practitioner - Psychiatry 2062451354 Practice locations: Providence, RI

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Nebraska College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

205 Governor St
Suite 11
Providence, RI 02906-3221
Phone (401) 680-9008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59181MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Psychological Services, PLLC Psychiatry CurrentSince Dec 1, 2019 Accepting new patients
The Commonwealth of Massachusetts Past Accepting new patients

Locations

115 Main St
Ste 2D
North Easton, MA 02356
Phone (508) 238-7766

89 Access Rd
Ste 24
Norwood, MA 02062
Phone (781) 336-5040

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.

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1265417703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 GOVERNOR ST # 11",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063221",
            "telephone_number": "401-680-9008",
            "fax_number": "401-680-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 GOVERNOR ST # 11",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063221",
            "telephone_number": "401-680-9008",
            "fax_number": "401-489-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPORTA",
        "first_name": "JOSE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "59181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.