Addyson R Tucker Thai, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS01864 Issued in RI

Practice address

22 Parsonage St # 159
Providence, RI 02903-4758

Phone

(401) 216-7877

Fax

(401) 489-7909

NPI assigned

Mar 14, 2016

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Megan A Tucker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1730540014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PARSONAGE ST # 159",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034732",
            "telephone_number": "401-216-7877",
            "fax_number": "401-489-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 PARSONAGE ST # 159",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034758",
            "telephone_number": "401-216-7877",
            "fax_number": "401-489-7909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1234 Broadway",
            "address_purpose": "LOCATION",
            "city": "Somerville",
            "state": "MA",
            "postal_code": "021441703",
            "country_code": "US",
            "telephone_number": "401-216-7877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER THAI",
        "first_name": "ADDYSON",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2016-03-14",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS01864",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10739",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "TUCKER",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert J Tubbs, MD
• Teddi Lynn Tubre, M.D.
• Joseph Ralph Tucci, M.D.
• Michael Vincent Tucci, MD
• Suzanne Tuchin, LICSW
• Bethany Lynn Tucker, RD
• Ryan Tudino, MD
• Ana Hilda Tueros, RN
• Britany Tuetken
• Jessica L Tulli, RN

• Clinical Psychologist in Providence, RI
• Providers in Providence, 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 Nov 11, 2024; 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.