Individual provider Active NPI

Daniel Kretchman, PHD

  • Clinical Psychologist
  • Woonsocket, RI
National Provider Identifier
1487943536
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
38749 Issued in TX
Practice address
55 Cummings Way
Woonsocket, RI 02895-3247
Phone
(401) 235-7000
NPI assigned
Mar 29, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS01174 RI
Clinical Psychologist 103TC0700X 38749 TX Primary

Addresses

Primary practice location

55 Cummings Way
Woonsocket, RI 02895-3247

Mailing address

55 Cummings Way
PO Box 1700
Woonsocket, RI 02895-3247
Phone (401) 235-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2025 through Oct 1, 2027

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.17 of 100Reported as group
Quality
83.48
Improvement activities
40
Cost
67.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS01174RIMDPsychologist
38749TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Mental Health Associates PC Clinical Past Accepting new patients
Community Care Alliance Past Accepting new patients

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": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1487943536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CUMMINGS WAY",
            "address_2": "PO BOX 1700",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028953247",
            "telephone_number": "401-235-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CUMMINGS WAY",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028953247",
            "telephone_number": "401-235-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRETCHMAN",
        "first_name": "DANIEL",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-29",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "RI",
            "license": "PS01174",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "38749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

Verify at the official NPI Registry.