Quetzal Associates, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS01332 Issued in RI

Legal business name

QUETZAL ASSOCIATES, INC.

Practice address

1445 Wampanoag TRL
Suite 106
Riverside, RI 02915-1000

Phone

(401) 903-2413

Fax

(401) 289-0297

NPI assigned

Jan 14, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Kristie Puster, PH.D.

Title

Clinical Psychologist

Phone

(401) 903-2413

Specialties & licenses 2

Addresses

Other names 1

• Kristie Puster, Ph.D. and Joseph Berryhill, Ph.D. Other name

Locations

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1720444193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CARPENTER AVE",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028062005",
            "telephone_number": "401-903-2413",
            "fax_number": "401-289-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 WAMPANOAG TRL",
            "address_2": "SUITE 106",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029151000",
            "telephone_number": "401-903-2413",
            "fax_number": "401-289-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUETZAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "PUSTER",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "401-903-2413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "RI",
            "license": "PS01332",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "RI",
            "license": "PSO1360",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kristie Puster, Ph.D. and Joseph Berryhill, Ph.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Teresa Preddy, PH.D.
• Kittichai Promrat, MD
• Kate Pyne, MSPT
• Quratul-Ain Qaiser, MD
• Carla M Quadros, NP
• R. Craig Wood, DMD, LTD.
• Petya Radoeva, M.D., PH.D.
• Olimpia A Radu, MD
• Mia Ragosta, PHARMD
• Stephanie Rainone, RN

• Psychologist in Riverside, RI
• Providers in Riverside, RI by specialty
• Psychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.