Institute for Behavioral Medicine

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS00276 Issued in RI

Legal business name

INSTITUTE FOR BEHAVIORAL MEDICINE

Practice address

1210 Pontiac Ave
3Rd Floor
Cranston, RI 02920-4490

Phone

(401) 467-2223

Fax

(401) 781-4570

NPI assigned

Jan 11, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Follick, PH.D.

Title

President

Phone

(401) 467-2223

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Joanne Lynne Fowler, PH.D.

  • Clinical Psychologist
  • Cranston, RI
  • NPI 1477760411
  NPD (past)

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1649636416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 PONTIAC AVE",
            "address_2": "3RD FLOOR",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029204490",
            "telephone_number": "401-467-2223",
            "fax_number": "401-781-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 PONTIAC AVE",
            "address_2": "3RD FLOOR",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029204490",
            "telephone_number": "401-467-2223",
            "fax_number": "401-781-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR BEHAVIORAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "FOLLICK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-467-2223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS00276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Cranston, RI
• Providers in Cranston, 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 Jan 11, 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.