Fortunato Psychology Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS00986 Issued in RI

Legal business name

FORTUNATO PSYCHOLOGY SERVICES, LLC

Practice address

1 Richmond SQ
Suite 217 W
Providence, RI 02906-5139

Phone

(401) 489-3636

NPI assigned

Feb 10, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Victoria Fortunato, PSY.D.

Title

Clinical Psychologist

Phone

(401) 489-3636

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1578921185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RICHMOND SQ",
            "address_2": "SUITE 217 W",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RICHMOND SQ",
            "address_2": "SUITE 217 W",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065139",
            "telephone_number": "401-489-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTUNATO PSYCHOLOGY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "FORTUNATO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "401-489-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS00986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Wilson Fortin, RN
• Norman Fortin, LICSW
• Rochelle L Fortin, LICSW
• Kristina Anne Fortini
• Mary Fortuna-Silva, NP
• Christopher Michael Fortunato, JD, LCSW
• Jessica Victoria Fortunato, PSY.D.
• Abigail Foster
• Allison Foster, PA-C
• Lori Anne Foster, BA

• Clinical Psychologist in Providence, RI
• Providers in Providence, RI by specialty
• Clinical Psychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.