Active NPI
Steven J Barreto, PHD
- Clinical Psychologist
- East Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS00589
- Practice address
- 1011 Veterans Memorial Pkwy
East Providence, RI 02915-5061 - Phone
- (401) 295-2439
- Fax
- (401) 432-1500
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS00589 | RI | Primary |
Addresses
Primary practice location
1011 Veterans Memorial Pkwy
East Providence, RI 02915-5061
Mailing address
1011 Veterans Memorial Pkwy
East Providence, RI 02915-5061
Phone (401) 432-1284
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 407459 | Other | RI | BLUE CHIP |
| SB24392 | Medicaid | RI | |
| 30149-9 | Other | RI | BLUE CROSS |
| 7809175 | Other | RI | AETNA HEALTHCARE |
| 61-54860 | Other | RI | UNITED BEHAVIORAL HEALTH |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS00589 | RI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Physician Group, Inc. | Clinical | Current | Accepting new patients |
Locations
19 Friendship St
Unit 240
Newport, RI 02840
Phone (401) 619-3930
593 Eddy St
Providence, RI 02903
593 Eddy St
#3
Providence, RI 02903
Phone (401) 444-3534
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
1011 Veterans Memorial Pkwy
Riverside, RI 02915
Phone (401) 432-1000
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294272000000",
"number": "1336180983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 VETERANS MEMORIAL PKWY",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029155061",
"telephone_number": "401-432-1284",
"fax_number": "401-432-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 VETERANS MEMORIAL PKWY",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029155061",
"telephone_number": "401-295-2439",
"fax_number": "401-432-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRETO",
"first_name": "STEVEN",
"middle_name": "J",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2011-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "RI",
"license": "PS00589",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "407459",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SB24392",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "30149-9",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTHCARE",
"identifier": "7809175",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "61-54860",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.