Rebecca Babcock Fenerci

Individual provider Active NPI Clinical Psychologist · Riverside, RI

NPI 1609259803 · NPPES record last updated Sep 14, 2018

Key facts

NPI
1609259803
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
PS01648 (RI)
Practice address
1011 Veterans Memorial Pkwy
Riverside, RI 02915-5061
Phone
(401) 432-1000
Fax
(401) 432-1509
NPI assigned
Jul 7, 2015
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS01648RIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca Babcock Fenerci PHD LLC Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS01648 RI Yes

Addresses

Primary practice location

1011 Veterans Memorial Pkwy
Riverside, RI 02915-5061

Mailing address

117 Ellenfield St Ste 101
Providence, RI 02905-4513
Phone (401) 444-6779

Other providers in Riverside, RI

All providers in Riverside, RI · Clinical Psychologist in Rhode Island

Sources for this page

Verify at the official NPI Registry.