Organization Active NPI

Jeffrey D Hughes, PSYD LLC

  • Clinical Psychologist
  • Providence, RI
National Provider Identifier
1649591611
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS00979 Issued in RI
Legal business name
JEFFREY D HUGHES, PSYD LLC
Practice address
340 Broadway
Providence, RI 02909-1102
Phone
(401) 243-7210
Fax
(401) 490-2619
NPI assigned
Jun 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Authorized official

Name
Dr. Jeffrey D Hughes, PSY.D.NPI 1548346240
Title
Owner/Psychologist
Phone
(401) 243-7210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PS00979 RI Primary

Addresses

Primary practice location

340 Broadway
Providence, RI 02909-1102

Mailing address

340 Broadway
Providence, RI 02909-1102
Phone (401) 243-7210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111021000325 RI Part B Supplier - Clinic/Group Practice 9032382825 Receives reassigned benefits from 1 practitioner
Practice locations: Cranston, RI

National Provider Directory

National Provider Directory

Locations

789 Park Ave
Cranston, RI 02910
Phone (401) 243-7210

340 Broadway
Ste 2
Providence, RI 02909
Phone (401) 243-7210

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1649591611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 BROADWAY",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029091102",
            "telephone_number": "401-243-7210",
            "fax_number": "401-490-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BROADWAY",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029091102",
            "telephone_number": "401-243-7210",
            "fax_number": "401-490-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY D HUGHES, PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-14",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "401-243-7210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS00979",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 9, 2011; 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.