Individual provider Active NPI

Kathryn G O'Neil, PSYD, MS

  • Clinical Psychologist
  • Riverside, RI
National Provider Identifier
1720757578
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS02303 Issued in RI
Practice address
1275 Wampanoag TRL
Riverside, RI 02915-1217
Phone
(401) 405-0700
NPI assigned
Sep 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Counseling Psychologist 103TC1900X
Clinical Psychologist 103TC0700X PS02303 RI Primary

Addresses

Primary practice location

1275 Wampanoag TRL
Riverside, RI 02915-1217

Mailing address

1275 Wampanoag TRL
Riverside, RI 02915-1217
Phone (401) 405-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250414000543 RI Practitioner - Clinical Psychologist 9537683438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Cumberland Counseling LLCGroup PAC ID 5395146690, 4 clinicians

Practice addresses (Care Compare)

175 Nate Whipple Hwy
Cumberland, RI 02864-1416
Phone (401) 405-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PS02303RIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Counseling, LLC CurrentSince Mar 30, 2025 Accepting new patients
Maps Counseling Services, Inc. Clinical PastSince Jun 1, 2023 Accepting new patients
Luk Crisis Center Inc. PastSince Sep 1, 2021 Accepting new patients

Locations

175 Nate Whipple Hwy
Cumberland, RI 02864
Phone (401) 405-0700

175 Nate Whipple Hwy
Ste 202
Cumberland, RI 02864
Phone (401) 405-0700

1275 Wampanoag Trl
Ste 8B
Riverside, RI 02915
Phone (401) 401-0700

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/luk/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1720757578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 WAMPANOAG TRL",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029151217",
            "telephone_number": "401-405-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 WAMPANOAG TRL",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029151217",
            "telephone_number": "401-405-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEIL",
        "first_name": "KATHRYN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PSYD, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS02303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, RI

Sources for this page

Verify at the official NPI Registry.