Individual provider Active NPI

Denise Labelle

  • Clinical Neuropsychologist
  • Newport, RI
National Provider Identifier
1760859524
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PS02056 Issued in RI
Practice address
11 Friendship St
Newport, RI 02840-2209
Phone
(401) 845-8140
NPI assigned
Aug 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X
Clinical Neuropsychologist 103G00000X PS02056 RI Primary

Addresses

Primary practice location

11 Friendship St
Newport, RI 02840-2209

Mailing address

117 Ellenfield St Ste 101
Providence, RI 02905-4541

Other practice location 1

888 W Bonneville Ave
Las Vegas, NV 89106-0100
Phone (702) 483-6000

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
I20220728001767 RI Practitioner - Clinical Psychologist 6305195041 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians

Practice addresses (Care Compare)

11 Friendship St
Newport, RI 02840-2209
Phone (401) 845-1810

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Miriam Hospital Current Accepting new patients
The Miriam Hospital CurrentSince Aug 1, 2022 Accepting new patients
The Miriam Hospital Current Accepting new patients
Coastal Medical Physicians, Inc. CurrentSince Feb 1, 2024 Accepting new patients
The Miriam Hospital Current Accepting new patients
The Miriam Hospital CurrentSince Aug 1, 2022 Accepting new patients
Coastal Medical Physicians, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Lifespan Physician Group, Inc. Clinical Neuropsychologist CurrentSince Aug 1, 2022 Accepting new patients
Janda, Mahajan & Balsiger PLLC Past Accepting new patients

Locations

900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480

850 Aquidneck Ave
Middletown, RI 02842
Phone (401) 846-0055

11 Friendship St
Newport, RI 02840
Phone (401) 845-1110

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

146 W River St
Ste 11C
Providence, RI 02904
Phone (401) 606-3000

593 Eddy St
Providence, RI 02903

Organizations & group practices 10

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": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1760859524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 ELLENFIELD ST STE 101",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FRIENDSHIP ST",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402209",
            "telephone_number": "401-845-8140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "888 W Bonneville Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891060100",
            "country_code": "US",
            "telephone_number": "702-483-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LABELLE",
        "first_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "RI",
            "license": "PS02056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, RI

Sources for this page

Verify at the official NPI Registry.