Mary Clair-Michaud, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS01446 Issued in RI

Practice address

24 Salt Pond Rd Ste B4
Wakefield, RI 02879-4320

Phone

(401) 783-1310

NPI assigned

Apr 21, 2015

Last updated

Aug 30, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1790172336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SALT POND RD STE B4",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794320",
            "telephone_number": "609-381-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SALT POND RD STE B4",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794320",
            "telephone_number": "401-783-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAIR-MICHAUD",
        "first_name": "MARY",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "RI",
            "license": "PS01446",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS01446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert K. Chinn, M.D.
• Heena Elizabeth Choi, L.AC.
• David J Chronley, M.D.
• Brian D Cilley, DO
• Nicole Leslie Cipriani-Fox, MS, OTR/L, BCP
• Cory Clark, PH.D.
• Patricia R Clark, M.S., LMFT
• Club Wellbeing LLC
• CMB Wellness LLC
• Coastal Medical, Inc. (Coastal Medical - Wakefield Medical)

• Clinical Psychologist in Wakefield, RI
• Providers in Wakefield, RI by specialty
• Clinical Psychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.