Active NPI
Katarina Lukatela, PH D
- Clinical Psychologist
- East Greenwich, RI
National Provider Identifier
1366467524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS00627
- Practice address
- 1351 S County TRL
Building 2
East Greenwich, RI 02818-5079 - Phone
- (401) 884-2008
- Fax
- (401) 884-2075
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | PS00627 | RI | Primary |
Addresses
Primary practice location
1351 S County TRL
Building 2
East Greenwich, RI 02818-5079
Mailing address
1351 S County TRL
Building 2
East Greenwich, RI 02818-5079
Phone (401) 884-2008
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 408987 | Other | RI | COORDINATED HEALTH PLANS |
| 30032-6 | Other | RI | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002472 | CT | MD | Professional Counselor |
| PS00627 | RI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angell Street Psychiatry LTD | Past | Accepting new patients |
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.
-
- Psychiatry Physician
- Warwick, RI
- NPI 1114011756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366467524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1351 S COUNTY TRL",
"address_2": "BUILDING 2",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028185079",
"telephone_number": "401-884-2008",
"fax_number": "401-884-2075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1351 S COUNTY TRL",
"address_2": "BUILDING 2",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028185079",
"telephone_number": "401-884-2008",
"fax_number": "401-884-2075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUKATELA",
"first_name": "KATARINA",
"credential": "PH D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "RI",
"license": "PS00627",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COORDINATED HEALTH PLANS",
"identifier": "408987",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "30032-6",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Greenwich, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.