Individual provider Active NPI

Steven Joel Hershey, PH.D.

  • Clinical Psychologist
  • Warwick, RI
National Provider Identifier
1831120260
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS00586 Issued in RI
Practice address
33 College Hill Rd
29C
Warwick, RI 02886-2776
Phone
(401) 822-4673
Fax
(401) 822-4676
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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 PS00586 RI Primary

Addresses

Primary practice location

33 College Hill Rd
29C
Warwick, RI 02886-2776

Mailing address

33 College Hill Rd
29C
Warwick, RI 02886-2776
Phone (401) 822-4673

Other identifiers 5

IdentifierTypeStateIssuer
05-0468084OtherRIUNITED HEALTH PLANS
6142230OtherRIUNITED HEALTH GEN ELEC
30024-1OtherRIBLUE CROSS & BLUE SHIELD
409250OtherRICOORDINATED HEALTH PLANS
779628-601045OtherRITUFTS HEALTH PLANS

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
I20170615001118 RI Practitioner - Clinical Psychologist 0143506345 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Angell Street Psychiatry LTDGroup PAC ID 5496656977, 9 clinicians

Practice addresses (Care Compare)

33 College Hill Rd
Suite 29C
Warwick, RI 02886-2775
Phone (401) 822-4673

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Community Health Care CurrentSince Dec 17, 2018 Accepting new patients
Northwest Community Health Care Current Accepting new patients
Northwest Community Health Care CurrentSince Dec 17, 2018 Accepting new patients
Angell Street Psychiatry LTD CurrentSince Mar 1, 2017 Accepting new patients

Locations

142A Danielson Pike
Foster, RI 02825
Phone (401) 241-1924

36 Bridge Way
Pascoag, RI 02859
Phone (401) 567-0800

35 Village Plaza Way
#153
Scituate, RI 02857
Phone (401) 567-0800

33 College Hill Rd
Ste 29C
Warwick, RI 02886
Phone (401) 732-5678

Organizations & group practices 4

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1831120260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 COLLEGE HILL RD",
            "address_2": "29C",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862776",
            "telephone_number": "401-822-4673",
            "fax_number": "401-822-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 COLLEGE HILL RD",
            "address_2": "29C",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862776",
            "telephone_number": "401-822-4673",
            "fax_number": "401-822-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSHEY",
        "first_name": "STEVEN",
        "middle_name": "JOEL",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS00586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH PLANS",
            "identifier": "05-0468084",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH GEN ELEC",
            "identifier": "6142230",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "30024-1",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COORDINATED HEALTH PLANS",
            "identifier": "409250",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLANS",
            "identifier": "779628-601045",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.