Individual provider Active NPI

David Denham Cotter, PSYD

  • Clinical Psychologist
  • Greenville, RI
National Provider Identifier
1982918819
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS01393 Issued in RI
Practice address
7 Austin Ave
Greenville, RI 02828-1520
Phone
(401) 349-3131
NPI assigned
Aug 3, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 9188 NE
Clinical Psychologist 103TC0700X PS01393 RI Primary

Addresses

Primary practice location

7 Austin Ave
Greenville, RI 02828-1520

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630

Other practice location 1

13603 Flanagan Blvd
Boys Town, NE 68010-7501
Phone (402) 498-3358

Other practice location 2

400 Bald Hill Rd Ste 530
Warwick, RI 02886-6111
Phone (401) 349-3131

Other identifiers 1

IdentifierTypeStateIssuer
47037660631MedicaidNE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240812003398 RI Practitioner - Clinical Psychologist 4183162928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Child and Family Psychiatry, Inc.Group PAC ID 5294173464, 90 clinicians

Practice addresses (Care Compare)

900 Douglas Pike
Suite 220
Smithfield, RI 02917-1879
Phone (401) 452-0123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS01393RIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Psychiatry, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Gershon Psychological Associates, LLC PastSince Apr 1, 2013 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

7 Austin Ave
Greenville, RI 02828
Phone (401) 231-9324

900 Douglas Pike
Ste 220
Smithfield, RI 02917
Phone (401) 452-0123

1035 Post Rd
Warwick, RI 02888
Phone (401) 941-2830

400 Bald Hill Rd
Ste 530
Warwick, RI 02886
Phone (401) 737-9091

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.davidcotter@151046.advancedmd-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1982918819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 AUSTIN AVE",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028281520",
            "telephone_number": "401-349-3131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13603 Flanagan Blvd",
            "address_purpose": "LOCATION",
            "city": "Boys Town",
            "state": "NE",
            "postal_code": "680107501",
            "country_code": "US",
            "telephone_number": "402-498-3358",
            "fax_number": "402-498-3375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Bald Hill Rd Ste 530",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028866111",
            "country_code": "US",
            "telephone_number": "401-349-3131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTTER",
        "first_name": "DAVID",
        "middle_name": "DENHAM",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-03",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "9188",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS01393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47037660631",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, RI

Sources for this page

Verify at the official NPI Registry.