Organization Active NPI

Lisa M Rocchio PHD & Associates

  • Counseling Psychologist
  • Johnston, RI
National Provider Identifier
1699892687
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PS00631 Issued in RI
Legal business name
LISA M ROCCHIO PHD & ASSOCIATES
Practice address
1524 Atwood Ave
Suite 222
Johnston, RI 02919-3228
Phone
(401) 751-5880
Fax
(401) 751-5881
NPI assigned
Mar 23, 2007
Last updated
Apr 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Authorized official

Name
Lisa M Rocchio, PHDNPI 1932241239
Title
President
Phone
(401) 751-5880

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
Counseling Psychologist 103TC1900X PS00631 RI Primary

Addresses

Primary practice location

1524 Atwood Ave
Suite 222
Johnston, RI 02919-3228

Mailing address

1524 Atwood Ave
Suite 222
Johnston, RI 02919-3228
Phone (401) 751-5880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080623000040 RI Part B Supplier - Clinic/Group Practice 6204907066 Receives reassigned benefits from 7 practitioners
Practice locations: Johnston, RI

National Provider Directory

National Provider Directory

Locations

1524 Atwood Ave
Ste 222
Johnston, RI 02919
Phone (401) 751-5880

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1699892687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE",
            "address_2": "SUITE 222",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193228",
            "telephone_number": "401-751-5880",
            "fax_number": "401-751-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE",
            "address_2": "SUITE 222",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193228",
            "telephone_number": "401-751-5880",
            "fax_number": "401-751-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA M ROCCHIO PHD & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "ROCCHIO",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-751-5880",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "RI",
            "license": "PS00631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.