NPI 1285752188 · live from the CMS NPI Registry
Jon K Berenson, PhD
Psychologist, Clinical in Providence, RI. National Provider Identifier 1285752188, active.
NPI record
| NPI | 1285752188 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 226 Waterman St, Providence, RI 02906 |
| Practice phone | 401-272-7733 |
| Enumerated | March 27, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | R9198 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.