Kathryn C P Scrimenti, PH D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

002596 Issued in CT

Practice address

91 Point Judith Rd. Suite 26
Unit 313
Narragansett, RI 02882-3468

Phone

(203) 208-9337

NPI assigned

Jul 27, 2006

Last updated

Aug 1, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT, RI2 enrollments

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 2

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Optum Behavioral Care of Connecticut PCGroup PAC ID 9436502879, 132 clinicians

Shoreline Cognitive Behavioral Therapy and Coaching Shoreline CBTGroup PAC ID 3476097668, 6 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shoreline Cognitive Behavioral Therapy and Coaching Shoreline CBT

  • Adult Mental Health Clinic/Center
  • Narragansett, RI
  • NPI 1578312575
  Medicare reassignment Care Compare group NPD
• Optum Behavioral Care of Connecticut, P.C.

  • Counseling Psychologist
  • New Haven, CT
  • NPI 1649051715
  Medicare reassignment Care Compare group NPD
• Harvest Healthcare LLC

  • Clinical Social Worker
  • Avon, CT
  • NPI 1477712917
  Medicare reassignment NPD
• Optum Behavioral Care of Connecticut, P.C.

  • Clinical Social Worker
  • Providence, RI
  • NPI 1730972944
  NPD

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1285658435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2553 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183021",
            "telephone_number": "203-640-1229",
            "fax_number": "203-248-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 POINT JUDITH RD. SUITE 26",
            "address_2": "UNIT 313",
            "city": "NARRAGANSETT",
            "state": "RI",
            "postal_code": "028823468",
            "telephone_number": "203-208-9337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2553 Whitney Ave",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "065183021",
            "country_code": "US",
            "telephone_number": "203-640-1229",
            "fax_number": "203-248-3339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCRIMENTI",
        "first_name": "KATHRYN",
        "middle_name": "C P",
        "credential": "PH D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS02103",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "002596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004246585",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anna M. Selwyn, PHARM. D.
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• Shades LLC (SHADES-Pier Optical)

• Clinical Psychologist in Narragansett, RI
• Providers in Narragansett, RI by specialty
• Clinical Psychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.

Verify at the official NPI Registry.