Active NPI
Barry A Plummer, PHD
- Clinical Psychologist
- Providence, RI
National Provider Identifier
1942307657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS000245
- Practice address
- 2 Regency PLZ
Suite 4
Providence, RI 02903-3160 - Phone
- (401) 351-0236
- Fax
- (401) 351-5005
- NPI assigned
- Sep 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS000245 | RI | Primary |
| Clinical Psychologist | 103TC0700X | 3113 | MA |
Addresses
Primary practice location
2 Regency PLZ
Suite 4
Providence, RI 02903-3160
Mailing address
2 Regency PLZ
Suite-4
Providence, RI 02903-3160
Phone (401) 351-0236
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS000245 | RI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942307657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 REGENCY PLZ",
"address_2": "SUITE-4",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029033160",
"telephone_number": "401-351-0236",
"fax_number": "401-351-5005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 REGENCY PLZ",
"address_2": "SUITE 4",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029033160",
"telephone_number": "401-351-0236",
"fax_number": "401-351-5005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLUMMER",
"first_name": "BARRY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "RI",
"license": "PS000245",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "3113",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.