Dmitry Meyerson, PH. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS01629 Issued in RI

Practice address

177 Airport Rd
Warwick, RI 02889-1046

Phone

(401) 329-2210

Fax

(401) 340-1052

NPI assigned

Jun 14, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dmitry Meyerson, PH. D., LLC.Group PAC ID 1658761689, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Dmitry Meyerson, PH. D., LLC

  • Clinical Psychologist
  • Warwick, RI
  • NPI 1639836117

  Clinical Neuropsychologist

  Medicare reassignment Care Compare group NPD Authorized official
• Dmitry Meyerson, PH. D., LLC

  • Clinical Psychologist
  • Warwick, RI
  • NPI 1326710674

  Clinical Neuropsychologist

  NPD (past) Authorized official

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600473600000",
    "number": "1972033827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 AIRPORT RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028891046",
            "telephone_number": "401-258-3310",
            "fax_number": "401-340-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 AIRPORT RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028891046",
            "telephone_number": "401-329-2210",
            "fax_number": "401-340-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERSON",
        "first_name": "DMITRY",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-14",
        "last_updated": "2020-09-19",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "RI",
            "license": "PS01629",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS01629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Metzger, DDS
• Barbara Irene Mey, LMHC
• Jamie Mey
• Meghan Meyer Meyer, LMHCA
• Samantha Christine Meyers, BCBA
• Michael M. Gooding DMD L.T.D
• Jacob Michalik, DO
• Pierre Ross Michaud, MD
• Michele R. Palazzolo, O.D.
• Brett Michelson

• Clinical Psychologist in Warwick, RI
• Providers in Warwick, RI by specialty
• Clinical Psychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.