Active NPI
Rebecca B Evans, PSYD
- Clinical Psychologist
- Seekonk, MA
National Provider Identifier
1942359963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 10072
- Practice address
- 10 Stone Ridge Dr
Seekonk, MA 02771-2921 - Phone
- (401) 437-7444
- Fax
- (401) 414-0671
- NPI assigned
- Jan 9, 2007
- Last updated
- Oct 19, 2022
- Sex
- Female
- 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 | 10072 | MA | Primary |
| Clinical Psychologist | 103TC0700X | PS01399 | RI |
Addresses
Primary practice location
10 Stone Ridge Dr
Seekonk, MA 02771-2921
Mailing address
PO Box 16082
Rumford, RI 02916-0698
Phone (401) 339-6449
Other practice location 1
49 Pavilion Ave
Providence, RI 02905-1534
Phone (401) 490-8988
Other names 1
- Rebecca B Clark
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS01399 | RI | MD | Clinical Psychologist |
| 10072 | MA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1942359963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16082",
"city": "RUMFORD",
"state": "RI",
"postal_code": "029160698",
"telephone_number": "401-339-6449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 STONE RIDGE DR",
"city": "SEEKONK",
"state": "MA",
"postal_code": "027712921",
"telephone_number": "401-437-7444",
"fax_number": "401-414-0671"
}
],
"practiceLocations": [
{
"address_1": "49 Pavilion Ave",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029051534",
"country_code": "US",
"telephone_number": "401-490-8988",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "REBECCA",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "10072",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "RI",
"license": "PS01399",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "CLARK",
"middle_name": "B",
"credential": "PSYD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Seekonk, MA
- Rose Maria Derienzo, M.ED., BCBA, LABA
- Diamond Therapy LLC
- Jasmine Dowery, LMHC
- Empire Vision Center Inc (Cambridge Eye Doctors)
- Empire Vision Center, Inc. (Visionworks)
- Facial & Oral Surgery, LLC (MSL Facial & Oral Surgery)
- Family Medical Associates, P.C.
- Femina Psychiatry and Wellness PLLC
- Isabella Fernandez, MSW
- Five-Forty Wellness Options, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.