Katelyn Henault

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY5000479 Issued in MA

Practice address

222 Jefferson Blvd
Warwick, RI 02888-3847

Phone

(860) 788-6404

NPI assigned

May 1, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, RI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Psychologist

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Meditelecare of Rhode Island LLCGroup PAC ID 4385053131, 7 clinicians

Meditelecare of Massachusetts, PLLCGroup PAC ID 8921417064, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Meditelecare of Rhode Island LLC

  • Nurse Practitioner
  • Warwick, RI
  • NPI 1801477963

  Clinical Neuropsychologist

  Medicare reassignment Care Compare group NPD
• Meditelecare of Massachusetts, PLLC

  • Clinical Psychologist
  • Boston, MA
  • NPI 1003496506
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1669960084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064578095",
            "telephone_number": "860-788-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 JEFFERSON BLVD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883847",
            "telephone_number": "860-788-6404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "745 Atlantic Ave Fl 8",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021112735",
            "country_code": "US",
            "telephone_number": "888-750-7768 x702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "190 Lenox St",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "MA",
            "postal_code": "020623416",
            "country_code": "US",
            "telephone_number": "781-769-8670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENAULT",
        "first_name": "KATELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS02306",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "PSY5000479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian O Heimiller, RDN, LDN
• Robert Heinl, M.D.
• Helen Miroshnichenko, DMD LLC
• Helping Hearts LLC
• Lora Helton, PH.D.
• Gesele Henderson
• Julie Hendrickson, RN
• Stephen M Hendriksen, MD
• Cheryl Henry, RN
• Jillian Henry, N.P.

• 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 Feb 14, 2025; 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.

Verify at the official NPI Registry.