NPIMap

Organization Active NPI

Clinical Assessment and Consultation

  • Addiction (Substance Use Disorder) Psychologist
  • Mashpee, MA
National Provider Identifier
1508165408
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
License
PS00671 Issued in RI
Legal business name
CLINICAL ASSESSMENT AND CONSULTATION
Practice address
400 Nathan Ellis Hwy
Mashpee, MA 02878-0272
Phone
(401) 624-7281
Fax
(401) 624-7208
NPI assigned
Mar 18, 2011
Last updated
Mar 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Authorized official

Name
Dr. Robert M Duwors
Title
PH.D.
Phone
(401) 624-7281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X PS00671 RI Primary

Addresses

Primary practice location

400 Nathan Ellis Hwy
Mashpee, MA 02878-0272

Mailing address

PO Box 272
1061 Fish Road
Tiverton, RI 02878-0272
Phone (401) 624-7281

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1508165408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272",
            "address_2": "1061 FISH ROAD",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028780272",
            "telephone_number": "401-624-7281",
            "fax_number": "401-624-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NATHAN ELLIS HWY",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "028780272",
            "telephone_number": "401-624-7281",
            "fax_number": "401-624-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL ASSESSMENT AND CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "DUWORS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PH.D.",
        "authorized_official_telephone_number": "401-624-7281",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "PS00671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mashpee, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.