Providence Psychology Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0777 Issued in RI

Legal business name

PROVIDENCE PSYCHOLOGY SERVICES, LLC

Practice address

154 Waterman St
Providence, RI 02906-3116

Phone

(401) 273-3322

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joseph J Trunzo, PH.D.NPI 1669402988

Title

Sole Owner

Phone

(401) 273-3322

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph J Trunzo, PH.D.

  • Clinical Psychologist
  • Providence, RI
  • NPI 1669402988
  NPD (past) Authorized official

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336179654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 WATERMAN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063116",
            "telephone_number": "401-273-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 WATERMAN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063116",
            "telephone_number": "401-273-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE PSYCHOLOGY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRUNZO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "401-273-3322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "0777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Providence Pediatrics
• Providence Perinatal Psychiatry
• Providence Physical Therapy Associates, Inc.
• Providence Prep Charter School
• Providence Preparatory Charter School
• Providence Psychotherapy Clinic Inc
• Providence Refractive, L.L.C. (TLC Laser Eye Centers Providence)
• Providence Surgical Care Group, Incorporated
• Providence Urology, LLC
• Providence VA Medical Center (Southeastern Psychiatric Associates)

• Clinical Psychologist in Providence, RI
• Providers in 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 Aug 22, 2020; 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.