Organization Active NPI

Traumatic Stress Associates

  • Psychologist
  • Providence, RI
National Provider Identifier
1740495589
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
227 Issued in RI
Legal business name
TRAUMATIC STRESS ASSOCIATES
Practice address
839 North Main Street
2ND Floor
Providence, RI 02904
Phone
(401) 331-2468
Fax
(401) 861-6531
NPI assigned
May 14, 2007
Last updated
Jun 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Dr. John Paul Parsons, PHDNPI 1558402453
Title
Psychologist
Phone
(401) 331-2468

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 227 RI Primary

Addresses

Primary practice location

839 North Main Street
2ND Floor
Providence, RI 02904

Mailing address

839 North Main Street
2ND Floor
Providence, RI 02904
Phone (401) 331-2468

Other identifiers 1

IdentifierTypeStateIssuer
9003564MedicaidRI

National Provider Directory

National Provider Directory

Locations

839 N Main St
#2
North Providence, RI 02904
Phone (401) 331-2468

Practitioners & affiliated clinicians

Practitioners 1

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": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1740495589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 NORTH MAIN STREET",
            "address_2": "2ND FLOOR",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02904",
            "telephone_number": "401-331-2468",
            "fax_number": "401-861-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 NORTH MAIN STREET",
            "address_2": "2ND FLOOR",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02904",
            "telephone_number": "401-331-2468",
            "fax_number": "401-861-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAUMATIC STRESS ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "401-331-2468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "RI",
            "license": "227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9003564",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.