Nicole Victoria Drost

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS02221 Issued in RI

Practice address

640 George Washington Hwy
Suite B200
Lincoln, RI 02865

Phone

(401) 294-0451

NPI assigned

Jul 3, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Judge Baker Children'S Center

  • Adolescent and Children Mental Health Clinic/Center
  • Boston, MA
  • NPI 1629559059
  NPD

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1861054462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 W 57TH ST STE 1007",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 GEORGE WASHINGTON HWY",
            "address_2": "SUITE B200",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "02865",
            "telephone_number": "401-294-0451"
        }
    ],
    "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",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DROST",
        "first_name": "NICOLE",
        "middle_name": "VICTORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2023-11-01",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS02221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Dominici Suazo
• Brenda Lee Donahue
• DPB Enterprises
• Dr. Hosney and Co. LLC
• Deborah E Draper, OTR/L
• Christina Drowne, MSW
• DRS. Ward and Vaudry
• Taylor Dryden
• Maegan Dubois, LMHC, ATR
• Sandra E Duclos, PHD

• Clinical Psychologist in Lincoln, RI
• Providers in Lincoln, 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 Nov 1, 2023; 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.