Individual provider Active NPI

Christine Louise Trask, PHD, ABPP

  • Clinical Neuropsychologist
  • North Kingstown, RI
National Provider Identifier
1558347997
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PS00835 Issued in RI
Practice address
1130 Ten Rod Road
BLDG. E, Suite 101
North Kingstown, RI 02852
Phone
(401) 294-6900
Fax
(401) 294-6690
NPI assigned
Dec 19, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PS00835 RI Primary
Clinical Psychologist 103TC0700X PS00835 RI

Addresses

Primary practice location

1130 Ten Rod Road
BLDG. E, Suite 101
North Kingstown, RI 02852

Mailing address

94 Laurel Ridge LN
North Kingstown, RI 02852-4147
Phone (401) 529-8049

Other practice location 1

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-4500

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060317000030 RI Practitioner - Clinical Psychologist 2668420043 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS00835RIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. Clinical Neuropsychologist Current Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Apr 17, 2013 Accepting new patients

Locations

593 Eddy St
Rm 38
Providence, RI 02903
Phone (401) 444-4779

593 Eddy St
Providence, RI 02903

593 Eddy St
#3
Providence, RI 02903
Phone (401) 444-3534

593 Eddy St
Ofc
Providence, RI 02903
Phone (401) 444-4500

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1558347997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 LAUREL RIDGE LN",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524147",
            "telephone_number": "401-529-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD ROAD",
            "address_2": "BLDG. E, SUITE 101",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "02852",
            "telephone_number": "401-294-6900",
            "fax_number": "401-294-6690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "593 Eddy St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034923",
            "country_code": "US",
            "telephone_number": "401-444-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRASK",
        "first_name": "CHRISTINE",
        "middle_name": "LOUISE",
        "credential": "PHD, ABPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "RI",
            "license": "PS00835",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS00835",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kingstown, RI

Sources for this page

Verify at the official NPI Registry.