Active NPI
Thomas J Guilmette
- Clinical Neuropsychologist
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PS00271
- Practice address
- 21 Peace St
Providence, RI 02907-1510 - Phone
- (401) 456-3309
- NPI assigned
- Nov 15, 2006
- Last updated
- Sep 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PS00271 | RI | Primary |
| Psychologist | 103T00000X | PS00271 | RI |
Addresses
Primary practice location
21 Peace St
Providence, RI 02907-1510
Mailing address
200 High Service Ave
North Providence, RI 02904-5113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS00271 | Other | RI | LICENSE NUMBER |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
450 Veterans Memorial Pkwy
Suite 8B
East Providence, RI 02914-5315
Phone (401) 529-4884
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS00271 | RI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospect Chartercare Sjhsri, LLC | Current | Accepting new patients | |
| Prospect Chartercare Sjhsri, LLC | Current | Accepting new patients | |
| Neuropsychology Partners, Inc | Clinical Neuropsychologist | Current | Accepting new patients |
| St. Joseph Health Services of Rhode Island | Past | Accepting new patients |
Locations
450 Veterans Memorial Pkwy
Ste 8B
East Providence, RI 02914
Phone (401) 529-4884
2 Wake Robin Rd
Lincoln, RI 02865
Phone (401) 333-1747
200 High Service Ave
North Providence, RI 02904
Phone (401) 456-3000
200 High Service Ave
#3
North Providence, RI 02904
Phone (401) 456-3649
21 Peace St
Providence, RI 02907
Phone (401) 456-3000
Organizations & group practices 4
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.
-
- Clinical Neuropsychologist
- Providence, RI
- NPI 1922031970
-
dba Our Lady of Fatima Hospital
- Internal Medicine Physician
- North Providence, RI
- NPI 1588089759
-
dba Our Lady of Fatima Hospital
- General Acute Care Hospital
- North Providence, RI
- NPI 1871918870
-
- Psychiatry Physician
- North Providence, RI
- NPI 1326122557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190851200000",
"number": "1629140595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HIGH SERVICE AVE",
"city": "NORTH PROVIDENCE",
"state": "RI",
"postal_code": "029045113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 PEACE ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029071510",
"telephone_number": "401-456-3309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILMETTE",
"first_name": "THOMAS",
"middle_name": "J",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2007-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "RI",
"license": "PS00271",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "RI",
"license": "PS00271",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "PS00271",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.