Active NPI
Dorothy B Brown, PHD
- Psychologist
- Tiverton, RI
National Provider Identifier
1275694986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- RI377
- Practice address
- 2128 Main Rd
Tiverton, RI 02878 - Phone
- (401) 624-9972
- Fax
- (401) 624-1452
- NPI assigned
- Dec 13, 2006
- Last updated
- Jul 24, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | RI377 | RI | Primary |
| Psychologist | 103T00000X | 4612 | MA |
Addresses
Primary practice location
2128 Main Rd
Tiverton, RI 02878
Mailing address
2128 Main Rd
Tiverton, RI 02878
Phone (401) 624-9972
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BRWO4553 | Other | MA | BLUE CROSS |
| RIBC93374 | Other | RI | BLUE CROSS |
Other names 1
- Dorothy B Clement
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101118000307 | RI | Practitioner - Clinical Psychologist | 3971799818 | Practice locations: Tiverton, RI |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2128 Main Rd
Tiverton, RI 02878-4609
Phone (401) 624-9972
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RI377 | RI | MD | Psychologist |
| 4612 | MA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anne Davidge Chace | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279929600000",
"number": "1275694986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2128 MAIN RD",
"city": "TIVERTON",
"state": "RI",
"postal_code": "02878",
"telephone_number": "401-624-9972",
"fax_number": "401-624-1452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2128 MAIN RD",
"city": "TIVERTON",
"state": "RI",
"postal_code": "02878",
"telephone_number": "401-624-9972",
"fax_number": "401-624-1452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "DOROTHY",
"middle_name": "B",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2010-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "RI",
"license": "RI377",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "4612",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "BRWO4553",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "RIBC93374",
"state": "RI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DOROTHY",
"last_name": "CLEMENT",
"middle_name": "B",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tiverton, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2010; 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.