Individual provider Active NPI

Cerissa Blaney, PH.D.

  • Clinical Psychologist
  • Barrington, RI
National Provider Identifier
1528433489
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS01518 Issued in RI
Practice address
18 Maple Ave # 292
Barrington, RI 02806-3560
Phone
(401) 236-5222
NPI assigned
Dec 3, 2015
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY 9421 FL
Clinical Psychologist 103TC0700X PS01518 RI Primary

Addresses

Primary practice location

18 Maple Ave # 292
Barrington, RI 02806-3560

Mailing address

18 Maple Ave # 292
Barrington, RI 02806-3560
Phone (401) 236-5222

Medicare participation

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY 9421FLMDClinical Psychologist
PS01518RIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cerissa Blaney PHD LLC Clinical CurrentSince Feb 23, 2025 Accepting new patients

Locations

18 Maple Ave
#292
Barrington, RI 02806
Phone (401) 236-5222

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1528433489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MAPLE AVE # 292",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028063560",
            "telephone_number": "401-236-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MAPLE AVE # 292",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028063560",
            "telephone_number": "401-236-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANEY",
        "first_name": "CERISSA",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-03",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 9421",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS01518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, RI

Sources for this page

Verify at the official NPI Registry.