Organization Active NPI

Edge Behavioral Health & Wellness, LLC

  • Psychologist
  • Wakefield, RI
National Provider Identifier
1902715915
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
EDGE BEHAVIORAL HEALTH & WELLNESS, LLC
Practice address
14 Wild Rose CT
Wakefield, RI 02879-5480
Phone
(401) 445-4676
NPI assigned
Sep 4, 2026
Last updated
Sep 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Dr. Jayson John Spas
Title
Owner
Phone
(401) 445-4676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

14 Wild Rose CT
Wakefield, RI 02879-5480

Mailing address

14 Wild Rose CT
Wakefield, RI 02879-5480
Phone (401) 445-4676

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1788480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1902715915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WILD ROSE CT",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028795480",
            "telephone_number": "401-445-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 WILD ROSE CT",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028795480",
            "telephone_number": "401-445-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGE BEHAVIORAL HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "SPAS",
        "authorized_official_first_name": "JAYSON",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-445-4676",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.