Active NPI
Jose A Saporta Jr., MD
- Psychiatry Physician
- Providence, RI
National Provider Identifier
1265417703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 59181
- 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
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 |
|---|---|---|---|---|
| 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, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 59181 | MA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Family Psychological Services, PLLC | Psychiatry | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brockton, MA
- NPI 1326155458
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.