Individual provider Active NPI

Jeniimarie Febres, PHD

  • Clinical Psychologist
  • South Attleboro, MA
National Provider Identifier
1417203837
Registry record updated Aug 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY11825 Issued in MA
Practice address
679 Washington St Ste 3-823
South Attleboro, MA 02703-8406
Phone
(508) 348-9246
NPI assigned
Aug 3, 2012
Last updated
Aug 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS01576 RI
Clinical Psychologist 103TC0700X PSY11825 MA Primary

Addresses

Primary practice location

679 Washington St Ste 3-823
South Attleboro, MA 02703-8406

Mailing address

679 Washington St Ste 3-823
South Attleboro, MA 02703-8406
Phone (508) 348-9246

Other identifiers 2

IdentifierTypeStateIssuer
PS01576OtherRISTATE LICENSE
PSY11825OtherMASTATE LICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161012000246 RI Practitioner - Clinical Psychologist 3173811916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Tennessee, HSC, College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians

Practice addresses (Care Compare)

593 Eddy St
Providence, RI 02903-4923

950 Warren Ave
Suite 104
East Providence, RI 02914-1432
Phone (401) 606-3711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY11825MAMDClinical Psychologist
PS01576RIMDClinical Psychologist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785542400000",
    "number": "1417203837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 WASHINGTON ST STE 3-823",
            "city": "SOUTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027038406",
            "telephone_number": "508-348-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "679 WASHINGTON ST STE 3-823",
            "city": "SOUTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027038406",
            "telephone_number": "508-348-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEBRES",
        "first_name": "JENIIMARIE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-03",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS01576",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "PSY11825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PS01576",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PSY11825",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Attleboro, MA

Sources for this page

Verify at the official NPI Registry.