Active NPI
Judith McCullough Romero, PH.D.
- Clinical Psychologist
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS02248
- Practice address
- 593 Eddy St
Providence, RI 02903-4923 - Phone
- (401) 444-4515
- Fax
- (401) 444-7018
- NPI assigned
- Mar 21, 2007
- 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 |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | PS02248 | RI | |
| Clinical Psychologist | 103TC0700X | PS02248 | RI | Primary |
Addresses
Primary practice location
593 Eddy St
Providence, RI 02903-4923
Mailing address
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-4515
Other names 1
- Dr. Judith McCullough
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS02248 | RI | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Hospital | Clinical | Current | Accepting new patients |
| Rhode Island Hospital | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Clinical | Current | Accepting new patients |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Iora Health Massachusetts, P.C. | Past | Accepting new patients | |
| Iora Health, LLC | Past | Accepting new patients |
Locations
1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
593 Eddy St
Ste 5
Providence, RI 02903
Phone (401) 444-3996
593 Eddy St
Providence, RI 02903
245 Chapman St
Ste 100
Providence, RI 02905
Phone (401) 444-6118
593 Eddy St
Lowr
Providence, RI 02903
Phone (401) 444-4471
1 Hoppin St
Ste 204
Providence, RI 02903
Phone (401) 444-8945
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- Internal Medicine Physician
- Hyannis, MA
- NPI 1851858666
-
- Internal Medicine Physician
- Hanover, NH
- NPI 1700285616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1326164732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "593 EDDY ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034923",
"telephone_number": "401-444-4515",
"fax_number": "401-444-7018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 EDDY ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034923",
"telephone_number": "401-444-4515",
"fax_number": "401-444-7018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCULLOUGH ROMERO",
"first_name": "JUDITH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "RI",
"license": "PS02248",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "RI",
"license": "PS02248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUDITH",
"last_name": "MCCULLOUGH",
"prefix": "DR.",
"credential": "PH.D.",
"code": "2",
"type": "Professional Name"
}
]
}
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 Nov 13, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.