Jill M Pfitzenmayer, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS00703 Issued in RI

Practice address

1090 New London Ave
Cranston, RI 02920-3035

Phone

(401) 463-5778

Fax

(401) 463-3592

NPI assigned

Mar 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quality Behavioral HealthGroup PAC ID 7113968694, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Quality Behavioral Health

  • Counselor
  • Warwick, RI
  • NPI 1154485480

  RI

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275501280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 LAWRENCE DR",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028714063",
            "telephone_number": "401-954-4978",
            "fax_number": "401-841-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 NEW LONDON AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029203035",
            "telephone_number": "401-463-5778",
            "fax_number": "401-463-3592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFITZENMAYER",
        "first_name": "JILL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "RI",
            "license": "PS00703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PS00703",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael John Petrarca, OTR
• Alexandria Nicole Pettinato, MS, LCDP
• Pezza Orthodontics
• Gregory Frank Pezza, DMD, MSD
• Joseph Edward Pezza, DDS
• Phenix Home Care
• Phred S Drug Inc
• Physicians Chiropractic and Nutrition Centers
• Allison Picard, MS, CCC-SLP
• Richard E Picard Jr., D.C.

• All providers in Cranston, RI
• Psychologist in Rhode Island

• 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.
• 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.

Verify at the official NPI Registry.