Individual provider Active NPI

Lisa M Rocchio, PHD

  • Clinical Psychologist
  • Johnston, RI
National Provider Identifier
1932241239
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS00631 Issued in RI
Practice address
1524 Atwood Ave
Suite 222
Johnston, RI 02919-3228
Phone
(401) 751-5880
Fax
(401) 751-5881
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PS00631 RI Primary

Addresses

Primary practice location

1524 Atwood Ave
Suite 222
Johnston, RI 02919-3228

Mailing address

1524 Atwood Ave
Suite 222
Johnston, RI 02919-3228
Phone (401) 751-5880

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
I20120113000458 RI Practitioner - Clinical Psychologist 2668543422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lisa M. Rocchio PHD and AssociatesGroup PAC ID 6204907066, 4 clinicians

Practice addresses (Care Compare)

1524 Atwood Ave
Suite 222
Johnston, RI 02919-3228
Phone (401) 751-5880

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS00631RIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa M Rocchio PHD & Associates Clinical CurrentSince May 1, 2002 Accepting new patients

Locations

1524 Atwood Ave
Ste 222
Johnston, RI 02919
Phone (401) 751-5880

Organizations & group practices 1

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932241239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE",
            "address_2": "SUITE 222",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193228",
            "telephone_number": "401-751-5880",
            "fax_number": "401-751-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE",
            "address_2": "SUITE 222",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193228",
            "telephone_number": "401-751-5880",
            "fax_number": "401-751-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCCHIO",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS00631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

Verify at the official NPI Registry.