Julia Michelle Kamenetsky, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS01754 Issued in RI

Practice address

1155 Westminster St Ste 206
Providence, RI 02909-1140

Phone

(401) 365-4044

NPI assigned

Apr 29, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

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

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1982225033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 DEXTER ST.",
            "address_2": "1 FRONT",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029072494",
            "telephone_number": "312-480-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 WESTMINSTER ST STE 206",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029091140",
            "telephone_number": "401-365-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMENETSKY",
        "first_name": "JULIA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS01754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Kamanetsky, M.D.
• Achyut Kamat, MD
• Shuba Kamath, M.D.
• Callista Kamau, LMT
• Antoun Kamel, MD
• Allison Kanakis, MD
• Kineret Kandelker
• Amanda T Kane
• Bonnie Kane, PSY.D.
• Daniel Joseph Kane, D.M.D.

• Clinical Psychologist in Providence, RI
• Providers in Providence, 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 Apr 29, 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.