Jill Henley, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS01841 Issued in RI

Practice address

400 Massasoit Ave Ste 305
East Providence, RI 02914-2012

Phone

(401) 294-0451

NPI assigned

Aug 24, 2018

Last updated

Dec 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

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.

• Brainwise LLC

  • Clinical Neuropsychologist
  • Riverside, RI
  • NPI 1225820442
  NPD Authorized official

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1306327614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD STE E305",
            "city": "N KINGSTOWN",
            "state": "RI",
            "postal_code": "028524176",
            "telephone_number": "401-294-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MASSASOIT AVE STE 305",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029142012",
            "telephone_number": "401-294-0451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "193 Oak St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "MA",
            "postal_code": "024641453",
            "country_code": "US",
            "telephone_number": "617-658-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 Turnpike St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MA",
            "postal_code": "020212700",
            "country_code": "US",
            "telephone_number": "781-619-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENLEY",
        "first_name": "JILL",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10768",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS01841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healy Physical Therapy and Sports Medicine Inc
• Brandon Healy, DPT
• Michael P Healy, PT
• Andree Heinl, MD
• David P Helpa, CCCSLP
• Melissa Hennemuth, BCBA
• Herman Ayvazyan
• Barbara Jeanine Hess, D.C.
• Victoria Marie Hickey, LMHC
• Robert W. Hill III, O.D.

• Clinical Psychologist in East Providence, RI
• Providers in East Providence, 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 Dec 15, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.