Matthew Tanner
Individual provider Active NPI Clinical Psychologist · North Kingstown, RI
NPI 1972224830 · NPPES record last updated Sep 2, 2025
Key facts
- NPI
- 1972224830
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PS02323 (RI)
- Practice address
- 1130 Ten Rod Rd Ste 101
North Kingstown, RI 02852-4161 - Phone
- (401) 294-6900
- NPI assigned
- Sep 8, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS02323 | RI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gabriele Hughes Ms, PCNS, Inc. | Current |
Accepting new patients | |
| Ican, LLC | Past |
Accepting new patients | |
| Luk Crisis Center Inc. | Past |
Accepting new patients |
Locations
1130 Ten Rod Rd
Ste 101
North Kingstown, RI 02852
Phone (401) 294-3990
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/luk/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS02323 | RI | Yes |
Addresses
Primary practice location
1130 Ten Rod Rd Ste 101
North Kingstown, RI 02852-4161
Mailing address
1130 Ten Rod Rd Ste 101
North Kingstown, RI 02852-4161
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- Kristen M Taylor
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All providers in North Kingstown, RI · Clinical Psychologist in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.