Active NPI
Dmitry Meyerson, PH. D., LLC
Doing business as Comprehensive Psychological Assessment and Treatment Services (CPATS)
- Clinical Psychologist
- Warwick, RI
National Provider Identifier
1326710674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- DMITRY MEYERSON, PH. D., LLC
- Doing business as
- Comprehensive Psychological Assessment and Treatment Services (CPATS)
- Practice address
- 177 Airport Rd
Warwick, RI 02889-1046 - Phone
- (401) 329-2210
- Fax
- (401) 340-1052
- NPI assigned
- Oct 4, 2021
- Last updated
- Oct 4, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dmitry Meyerson, PH. D.
- Title
- Clinical Director/Owner
- Phone
- (401) 258-3310
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | NU | ||
| Clinical Psychologist | 103TC0700X | NU | Primary |
Addresses
Primary practice location
177 Airport Rd
Warwick, RI 02889-1046
Mailing address
177 Airport Rd
Warwick, RI 02889-1046
Phone (401) 329-2210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RI-1972033827 | Medicaid | RI |
Other names 2
- Comprehensive Psychological Assessment and Treatment Services (CPATS)
- Meyerson & Associates
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633305600000",
"number": "1326710674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 AIRPORT RD",
"city": "WARWICK",
"state": "RI",
"postal_code": "028891046",
"telephone_number": "401-329-2210",
"fax_number": "401-340-1052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 AIRPORT RD",
"city": "WARWICK",
"state": "RI",
"postal_code": "028891046",
"telephone_number": "401-329-2210",
"fax_number": "401-340-1052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DMITRY MEYERSON, PH. D., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-04",
"last_updated": "2021-10-04",
"certification_date": "2021-10-04",
"status": "A",
"authorized_official_last_name": "MEYERSON",
"authorized_official_first_name": "DMITRY",
"authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
"authorized_official_telephone_number": "401-258-3310",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH. D."
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RI-1972033827",
"state": "RI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Comprehensive Psychological Assessment and Treatment Services (CPATS)",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Meyerson & Associates",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.