Active NPI
Traumatic Stress Associates
- Psychologist
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 227
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Paul Parsons, PHD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9003564 | Medicaid | RI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Psychologist
- Providence, RI
- NPI 1558402453
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.