Individual provider Active NPI

Lindsay Marie Orchowski, PH.D.

  • Clinical Psychologist
  • Providence, RI
National Provider Identifier
1417228255
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS01271 Issued in RI
Practice address
146 W River St
Suite 11 B
Providence, RI 02904-2609
Phone
(401) 444-7442
Fax
(401) 444-7109
NPI assigned
Jan 25, 2012
Last updated
Apr 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS01271 RI Primary

Addresses

Primary practice location

146 W River St
Suite 11 B
Providence, RI 02904-2609

Mailing address

593 Eddy St
Potter 3
Providence, RI 02903-4923
Phone (401) 444-4318

Other identifiers 1

IdentifierTypeStateIssuer
PS01271OtherRIPROFESSIONAL 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
I20121005000556 RI Practitioner - Clinical Psychologist 1658520697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians

Practice addresses (Care Compare)

146 W River St
Suite 11B
Providence, RI 02904-2609
Phone (401) 444-7442

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS01271RIMDClinical Psychologist
PS02171RIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. Clinical CurrentSince Apr 17, 2013 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Apr 17, 2013 Accepting new patients
Rhode Island Hospital Past Accepting new patients

Locations

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

146 W River St
#11A
Providence, RI 02904
Phone (401) 606-8250

146 W River St
Ste 11
Providence, RI 02904
Phone (401) 444-7442

146 W River St
Ste 11B
Providence, RI 02904
Phone (401) 444-7442

593 Eddy St
Providence, RI 02903

593 Eddy St
#3
Providence, RI 02903
Phone (401) 444-3534

593 Eddy St
#970
Providence, RI 02903
Phone (401) 444-2128

593 Eddy St
Rm 38
Providence, RI 02903
Phone (401) 444-4779

Organizations & group practices 3

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": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1417228255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "address_2": "POTTER 3",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-4318",
            "fax_number": "401-444-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 W RIVER ST",
            "address_2": "SUITE 11 B",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029042609",
            "telephone_number": "401-444-7442",
            "fax_number": "401-444-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORCHOWSKI",
        "first_name": "LINDSAY",
        "middle_name": "MARIE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS01271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "PS01271",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.