South County Child & Family Consultants

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS00313 Issued in RI

Legal business name

SOUTH COUNTY CHILD & FAMILY CONSULTANTS

Practice address

1058 Kingstown Rd
Peace Dale, RI 02879-2487

Phone

(401) 789-1553

Fax

(401) 782-1313

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

I. Randy Kulman, PH.D.

Title

President

Phone

(401) 789-1553

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467515957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 KINGSTOWN RD",
            "city": "PEACE DALE",
            "state": "RI",
            "postal_code": "028792487",
            "telephone_number": "401-789-1553",
            "fax_number": "401-782-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 KINGSTOWN RD",
            "city": "PEACE DALE",
            "state": "RI",
            "postal_code": "028792487",
            "telephone_number": "401-789-1553",
            "fax_number": "401-782-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COUNTY CHILD & FAMILY CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KULMAN",
        "authorized_official_first_name": "I. RANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-789-1553",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS00313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RK02108",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele B McNeiece, MSW LICSW
• North Road Psychiatry LLC
• Richard Vincent Palumbo Jr., M.A.
• Pamela Rand, RD, LDN, CDOE, RYT
• Scallop Shell Nursing & Rehabilitation Center, Inc.
• Richard Christopher Staton, MSW LICSW CERTIFICAT

• Clinical Psychologist in Peace Dale, RI
• Providers in Peace Dale, 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.