Organization 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
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Authorized official

Name
Dr. Dmitry Meyerson, PH. D.NPI 1972033827
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
RI-1972033827MedicaidRI

Other names 2

  • Comprehensive Psychological Assessment and Treatment Services (CPATS) Doing business as
  • Meyerson & Associates Other name

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.