NPI 1033675145 · live from the CMS NPI Registry
Mark A Celio, PhD
Psychologist, Clinical in Providence, RI. National Provider Identifier 1033675145, active.
NPI record
| NPI | 1033675145 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 121 S Main St, Providence, RI 02903 |
| Practice phone | 401-863-6662 |
| Mailing address | 6 Fenwick Rd, Riverside, RI 02915 |
| Enumerated | February 13, 2019 |
| Last updated | February 13, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Addiction (Substance Use Disorder) | 103TA0400X | — |
| Psychologist, Cognitive & Behavioral | 103TB0200X | — |
| Psychologist, Clinical primary | 103TC0700X | PS01682 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.