Sandra E. Duclos, PH.D., Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS00498 Issued in RI

Legal business name

SANDRA E. DUCLOS, PH.D., INC.

Practice address

6 Blackstone Valley PL
Suite 109
Lincoln, RI 02865-1179

Phone

(401) 334-9104

Fax

(401) 334-9105

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sandra E. Duclos, PH.D.NPI 1548303449

Title

President

Phone

(401) 334-9104

Specialties & licenses 1

Addresses

Other names 1

• Sandra E. Duclos, Ph.D. Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra E Duclos, PHD

  • Psychologist
  • Lincoln, RI
  • NPI 1548303449
  NPD (past) Authorized official

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1497788541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PL",
            "address_2": "SUITE 109",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651179",
            "telephone_number": "401-334-9104",
            "fax_number": "401-334-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PL",
            "address_2": "SUITE 109",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651179",
            "telephone_number": "401-334-9104",
            "fax_number": "401-334-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA E. DUCLOS, PH.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "DUCLOS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-334-9104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "RI",
            "license": "PS00498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandra E. Duclos, Ph.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Vahid Salmon, DO
• Katelyn Salum, LMHC
• Katherine Salvatore
• Kasandra Sanchez
• Rupinder Kaur Sandhu, DMD
• Musa Sanneh
• Jhene Santana Brown
• Naysha Santana
• Tony Santana
• Emily L Santello, DPT

• Psychologist in Lincoln, RI
• Providers in Lincoln, RI by specialty
• Psychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.