Individual provider Active NPI

Roisin M O'Mara, PH.D.

  • Clinical Psychologist
  • Rumford, RI
National Provider Identifier
1861744211
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS01329 Issued in RI
Practice address
17 Nimitz Rd
Rumford, RI 02916-1010
Phone
(408) 421-6549
NPI assigned
Oct 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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 PS01329 RI Primary

Addresses

Primary practice location

17 Nimitz Rd
Rumford, RI 02916-1010

Mailing address

17 Nimitz Rd
Rumford, RI 02916-1010
Phone (408) 421-6549

Other practice location 1

1 Richmond Sq Ste 333K
Providence, RI 02906-5139
Phone (408) 421-6549

Other identifiers 1

IdentifierTypeStateIssuer
PS01329OtherRIPROFESSIONAL LICENSE

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
I20170413000640 RI Practitioner - Clinical Psychologist 8325324965

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1861744211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 NIMITZ RD",
            "city": "RUMFORD",
            "state": "RI",
            "postal_code": "029161010",
            "telephone_number": "408-421-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 NIMITZ RD",
            "city": "RUMFORD",
            "state": "RI",
            "postal_code": "029161010",
            "telephone_number": "408-421-6549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Richmond Sq Ste 333K",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029065139",
            "country_code": "US",
            "telephone_number": "408-421-6549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'MARA",
        "first_name": "ROISIN",
        "middle_name": "M",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-10",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS01329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "PS01329",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rumford, RI

Sources for this page

Verify at the official NPI Registry.