Active NPI
David Clifton Dove, PH.D.
- Clinical Child & Adolescent Psychologist
- Providence, RI
National Provider Identifier
1275774010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- PS01064
- Practice address
- 194 Waterman St
Suite 5
Providence, RI 02906-4015 - Phone
- (401) 533-3015
- Fax
- (888) 867-2945
- NPI assigned
- Mar 6, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | PS01064 | RI | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PS01064 | RI | Primary |
| Family Psychologist | 103TF0000X | PS01064 | RI |
Addresses
Primary practice location
194 Waterman St
Suite 5
Providence, RI 02906-4015
Mailing address
5 Chace Ave
Warren, RI 02885-1337
Phone (401) 533-3015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS01064 | RI | MD | Family Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236297600000",
"number": "1275774010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 CHACE AVE",
"city": "WARREN",
"state": "RI",
"postal_code": "028851337",
"telephone_number": "401-533-3015",
"fax_number": "888-867-2945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 WATERMAN ST",
"address_2": "SUITE 5",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029064015",
"telephone_number": "401-533-3015",
"fax_number": "888-867-2945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOVE",
"first_name": "DAVID",
"middle_name": "CLIFTON",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-06",
"last_updated": "2009-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "RI",
"license": "PS01064",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "RI",
"license": "PS01064",
"primary": true
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "RI",
"license": "PS01064",
"primary": false
}
],
"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 Mar 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.