Individual provider Active NPI

Mark Dumas, PHD

  • Clinical Psychologist
  • Warwick, RI
National Provider Identifier
1740497387
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS00569 Issued in RI
Practice address
469 Centerville Rd Ste 105
Warwick, RI 02886-4356
Phone
(401) 773-3700
Fax
(401) 773-3701
NPI assigned
May 16, 2007
Last updated
May 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS00569 RI Primary

Addresses

Primary practice location

469 Centerville Rd Ste 105
Warwick, RI 02886-4356

Mailing address

469 Centerville Rd Ste 105
Warwick, RI 02886-4356
Phone (401) 773-3700

Other practice location 1

765 Allens Ave
Providence, RI 02905-5443
Phone (401) 490-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141204001372 RI Practitioner - Clinical Psychologist 7214259159 Reassigns benefits to 1 organization
I20230510002265 MA Practitioner - Psychiatry 7214259159 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS00569RIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA CurrentSince Oct 3, 2023 Accepting new patients
Brightside Behavioral Health, LLC CurrentSince Jul 1, 2026 Accepting new patients
Southcoast Physicians Group, Inc. Current Accepting new patients
Community and School Support Services Current Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Community and School Support Services Clinical Current Accepting new patients
The Providence Center Past Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients

Locations

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

179 Highland Ave
#1039
Seekonk, MA 02771
Phone (401) 773-3700

469 Centerville Rd
Ste 105
Warwick, RI 02886
Phone (401) 738-9200

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1740497387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 CENTERVILLE RD STE 105",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864356",
            "telephone_number": "401-773-3700",
            "fax_number": "401-773-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 CENTERVILLE RD STE 105",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864356",
            "telephone_number": "401-773-3700",
            "fax_number": "401-773-3701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "765 Allens Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029055443",
            "country_code": "US",
            "telephone_number": "401-490-8900",
            "fax_number": "401-490-2619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUMAS",
        "first_name": "MARK",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS00569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.