NPIMap

Organization Active NPI

Ricbt, Inc.

  • Clinical Psychologist
  • North Kingstown, RI
National Provider Identifier
1780776476
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
RICBT, INC.
Practice address
1130 Ten Rod Rd
Suite E305
North Kingstown, RI 02852-4161
Phone
(401) 294-0451
Fax
(401) 294-0461
NPI assigned
Sep 29, 2006
Last updated
Feb 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Authorized official

Name
Judy K Johnson
Title
Practice Manager
Phone
(401) 294-0451

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Neuropsychologist 103G00000X NU
Clinical Psychologist 103TC0700X NU Primary
Clinical Social Worker 1041C0700X NU
Psychiatry Physician 2084P0800X NU
Child & Adolescent Psychiatry Physician 2084P0804X NU

Addresses

Primary practice location

1130 Ten Rod Rd
Suite E305
North Kingstown, RI 02852-4161

Mailing address

1130 Ten Rod Rd Ste E305
North Kingstown, RI 02852-4176
Phone (401) 294-0451

Other practice location 1

400 Massasoit Ave Ste 305
East Providence, RI 02914-2012
Phone (401) 294-0451

Other practice location 2

60 Bay Spring Ave Unit B5
Barrington, RI 02806-1386
Phone (401) 294-0451

Other names 2

  • Rhode Island Center for Cognitive Behavioral Therapy, Inc. Former legal business name
  • RICBT Other name

National Provider Directory

National Provider Directory

Locations

1130 Ten Rod Rd
Ste E305
North Kingstown, RI 02852
Phone 4012940451824

300 Centerville Rd
Ste 103W
Warwick, RI 02886

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1780776476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD STE E305",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524176",
            "telephone_number": "401-294-0451",
            "fax_number": "401-294-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD",
            "address_2": "SUITE E305",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524161",
            "telephone_number": "401-294-0451",
            "fax_number": "401-294-0461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Massasoit Ave Ste 305",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029142012",
            "country_code": "US",
            "telephone_number": "401-294-0451",
            "fax_number": "401-294-0461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Bay Spring Ave Unit B5",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "RI",
            "postal_code": "028061386",
            "country_code": "US",
            "telephone_number": "401-294-0451",
            "fax_number": "401-294-0461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RICBT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "401-294-0451"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rhode Island Center for Cognitive Behavioral Therapy, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "RICBT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Kingstown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.