Blackstone Valley Family Therapy, LTD.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

BLACKSTONE VALLEY FAMILY THERAPY, LTD.

Practice address

2190 Mendon Rd
Suite 3
Cumberland, RI 02864-3805

Phone

(401) 475-5500

Fax

(401) 475-5549

NPI assigned

Nov 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David Ingle, PSY.D.NPI 1275563405

Title

Owner

Phone

(401) 475-5500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Winston Ingle, PSY.D.

  • Clinical Psychologist
  • Cumberland, RI
  • NPI 1275563405

  Clinical

  NPD (past) Authorized official

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1982859997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7683",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028640897",
            "telephone_number": "401-475-5500",
            "fax_number": "401-475-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 MENDON RD",
            "address_2": "SUITE 3",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028643805",
            "telephone_number": "401-475-5500",
            "fax_number": "401-475-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKSTONE VALLEY FAMILY THERAPY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "INGLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-475-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John F Biernacki, DMD
• Bizzy Bees Therapy LLC
• Kyle Black
• Blackstone Endodontics, LLC
• Blackstone Psychology Group
• Blackstone Valley Hearing Centers, Inc.
• Blackstone Valley Pediatrics
• Amanda Blanchard, MSN-FNP-C
• Michelle Bornstein Bennett, MD
• Karen A Bouchard, RN

• All providers in Cumberland, RI
• Clinical Psychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.