Active NPI
Christina Mei-Chia Fucci, PSY.D
- Clinical Psychologist
- Warwick, RI
National Provider Identifier
1487987863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS01147
- Practice address
- 400 Bald Hill Road
Suite 530
Warwick, RI 02886 - Phone
- (401) 349-3131
- Fax
- (401) 921-5109
- NPI assigned
- Sep 16, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS01147 | RI | Primary |
Addresses
Primary practice location
400 Bald Hill Road
Suite 530
Warwick, RI 02886
Mailing address
400 Bald Hill Road
Suite 530
Warwick, RI 02886
Phone (401) 349-3131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11999213 | Other | RI | CAQH PROVIDER ID |
Other names 1
- Christina Fucci
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS01147 | RI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evergreen Wellness Center, LLC | Clinical | Current | Accepting new patients |
| Gershon Psychological Associates, LLC | Past | Accepting new patients | |
| Child and Family Psychiatry, Inc. | Past | Accepting new patients | |
| The Providence Center | Past | Accepting new patients |
Locations
100 Washington St
Unit 767
West Warwick, RI 02893
Phone (508) 386-2094
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Warwick, RI
- NPI 1760863229
-
- Psychologist
- Warwick, RI
- NPI 1538366935
-
- Community/Behavioral Health Agency
- Providence, RI
- NPI 1134977598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387152000000",
"number": "1487987863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 BALD HILL ROAD",
"address_2": "SUITE 530",
"city": "WARWICK",
"state": "RI",
"postal_code": "02886",
"telephone_number": "401-349-3131",
"fax_number": "401-921-5109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 BALD HILL ROAD",
"address_2": "SUITE 530",
"city": "WARWICK",
"state": "RI",
"postal_code": "02886",
"telephone_number": "401-349-3131",
"fax_number": "401-921-5109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUCCI",
"first_name": "CHRISTINA",
"middle_name": "MEI-CHIA",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-16",
"last_updated": "2013-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "RI",
"license": "PS01147",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH PROVIDER ID",
"identifier": "11999213",
"state": "RI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "FUCCI",
"credential": "PSY.D",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.