Dmitry Meyerson, PH. D., LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DMITRY MEYERSON, PH. D., LLC

Doing business as

Meyerson & Associates CPATS

Practice address

177 Airport Rd
Warwick, RI 02889-1046

Phone

(401) 329-2210

Fax

(401) 340-1052

NPI assigned

Nov 19, 2021

Last updated

Nov 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dmitry Meyerson, PH. D.NPI 1972033827

Title

Ceo/Owner

Phone

(401) 329-2210

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Meyerson & Associates CPATS Doing business as

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dmitry Meyerson, PH. D.

  • Clinical Psychologist
  • Warwick, RI
  • NPI 1972033827

  Clinical Neuropsychologist

  Medicare reassignment Care Compare group NPD Authorized official
• Christine Forsyth

  • Clinical Social Worker
  • Cranston, RI
  • NPI 1225445083
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1639836117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 AIRPORT RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028891046",
            "telephone_number": "401-329-2210",
            "fax_number": "401-340-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 AIRPORT RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028891046",
            "telephone_number": "401-329-2210",
            "fax_number": "401-340-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMITRY MEYERSON, PH. D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "MEYERSON",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "401-329-2210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RI-1972033827",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meyerson & Associates CPATS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Diraimo
• Diane J Ditomasso
• Mariah Ditoro
• Mary Katherine Dixon-Standard, MSW, LICSW
• Dmitry Meyerson, PH. D., LLC (Comprehensive Psychological Assessment and Treatment Services (CPATS))
• Brianna Doar, LMHC
• Hannah-Lita Dobson, LCSW
• Zoe-Rene Cabot Dobson, RN
• Doctor Saleh Inc
• William P Dodd, CRNA

• Clinical Psychologist in Warwick, RI
• Providers in Warwick, 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 Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.