Active NPI
Janet Grace, PH.D
- Clinical Neuropsychologist
- Pawtucket, RI
National Provider Identifier
1942224639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PS00359
- Practice address
- Memorial Hospital of Rhode Island
111 Brewster Street
Pawtucket, RI 02860 - Phone
- (401) 729-2326
- Fax
- (401) 729-2243
- NPI assigned
- Jul 26, 2006
- Last updated
- May 13, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PS00359 | RI | Primary |
Addresses
Primary practice location
Memorial Hospital of Rhode Island
111 Brewster Street
Pawtucket, RI 02860
Mailing address
Memorial Hospital of Rhode Island
111 Brewster Street
Pawtucket, RI 02860
Phone (401) 729-2326
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007061048 | Other | RI | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273708800000",
"number": "1942224639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MEMORIAL HOSPITAL OF RHODE ISLAND",
"address_2": "111 BREWSTER STREET",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "02860",
"telephone_number": "401-729-2326",
"fax_number": "401-729-2243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEMORIAL HOSPITAL OF RHODE ISLAND",
"address_2": "111 BREWSTER STREET",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "02860",
"telephone_number": "401-729-2326",
"fax_number": "401-729-2243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACE",
"first_name": "JANET",
"name_prefix": "Prof.",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2010-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "RI",
"license": "PS00359",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "007061048",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.