Individual provider Active NPI

Nicole R Molina, PSY.D.

  • Psychologist
  • Woonsocket, RI
National Provider Identifier
1477860237
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS01514 Issued in RI
Practice address
68 Cumberland St
Woonsocket, RI 02895-3300
Phone
(401) 356-1940
NPI assigned
Aug 31, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS01514 RI Primary

Addresses

Primary practice location

68 Cumberland St
Woonsocket, RI 02895-3300

Mailing address

68 Cumberland St
Woonsocket, RI 02895-3300

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
I20170907003239 RI Practitioner - Clinical Psychologist 5193098465 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS01514RIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Windmill Psychological Services LLC Psychologist Current Accepting new patients
Plaza Psychology & Psychiatry, Inc. CurrentSince Jul 3, 2017 Accepting new patients

Locations

816 Middle Rd
East Greenwich, RI 02818
Phone (401) 356-1940

68 Cumberland St
Ste 102
Woonsocket, RI 02895
Phone (401) 356-1940

191 Social St
Ste 180
Woonsocket, RI 02895
Phone (401) 356-1940

Organizations & group practices 2

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": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1477860237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 CUMBERLAND ST",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028953300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CUMBERLAND ST",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028953300",
            "telephone_number": "401-356-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "NICOLE",
        "middle_name": "R",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "RI",
            "license": "PS01514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

Verify at the official NPI Registry.