Active NPI
Kristin Anne David, PSYD
- Psychologist
- Warwick, RI
National Provider Identifier
1972708287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS01014
- Practice address
- 1045 Warwick Ave
Suite 101
Warwick, RI 02888-3665 - Phone
- (401) 465-2670
- Fax
- (401) 270-0660
- NPI assigned
- Jun 18, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS01014 | RI | Primary |
Addresses
Primary practice location
1045 Warwick Ave
Suite 101
Warwick, RI 02888-3665
Mailing address
1045 Warwick Ave
Suite 101
Warwick, RI 02888-3665
Phone (401) 465-2670
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
Interoperability endpoints
- kristin@direct.centerforchangeri.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439769600000",
"number": "1972708287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 WARWICK AVE",
"address_2": "SUITE 101",
"city": "WARWICK",
"state": "RI",
"postal_code": "028883665",
"telephone_number": "401-465-2670",
"fax_number": "401-270-0660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 WARWICK AVE",
"address_2": "SUITE 101",
"city": "WARWICK",
"state": "RI",
"postal_code": "028883665",
"telephone_number": "401-465-2670",
"fax_number": "401-270-0660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVID",
"first_name": "KRISTIN",
"middle_name": "ANNE",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-18",
"last_updated": "2015-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "RI",
"license": "PS01014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.