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JENNIFER MARIE PRIMACK PH.D.
NPI 1255639910
Psychologist - Clinical in Providence, RI

Active since March 04, 2011
345 BLACKSTONE BLVD, DEPARTMENT OF PSYCHOSOCIAL RESEARCH, PROVIDENCE, RI 02906(401) 455-6336 Get Directions Write a Review

NPPES record last updated: March 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Marie Primack Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER MARIE PRIMACK PH.D. (NPI 1255639910) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (PS01130) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1255639910
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJENNIFER MARIE PRIMACKCredential: PH.D.
Location Address345 BLACKSTONE BLVD, DEPARTMENT OF PSYCHOSOCIAL RESEARCHProvidence, RI 02906-4800
Mailing Address345 Blackstone Blvd, Department Of Psychosocial ResearchProvidence, RI 02906-4800 · (401) 455-6336
Phone(401) 455-6336
Sole ProprietorYes
Enumeration DateMarch 4, 2011
✔ NPI 1255639910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in RI · PS01130
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License PS01130 (RI)
345 BLACKSTONE BLVD, Providence, RI 02906
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Other Names 1

Former Name (1)Jennifer Marie Lane

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN E. BAILL MD & ASSOCIATES, LLC
Clinic/Center
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (917) 447-2138
SHARATH PONNAPPA PUTTICHANDA
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (401) 455-6346
MS. JASMINE APPLEBERRY M.S.W., L.I.C.S.W.
Social Worker (Clinical)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (401) 225-2044
BRITTANY CATHERINE DAWSON FNP-BC
Nurse Practitioner (Family)
345 BLACKSTONE BLVD, MEMORY AND AGING PROGRAM
PROVIDENCE, RI 02906
Providence County (401) 455-6403
CYNTHIA CHEN YANG MD
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (401) 455-6373
DR. MICAH BENJAMIN DUGGINS-WARF MD
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (716) 803-9249
KATHARINE ANNE PHILLIPS MD
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (401) 455-6200
LISA BRAFF SHEA MD
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Providence County (401) 455-6200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Primack's NPI number?

The NPI number for Jennifer Primack is 1255639910. It was assigned to this individual provider in the NPPES registry on March 4, 2011. The provider is also known as Jennifer Marie Lane.

Where is Jennifer Primack located?

Jennifer Primack practices at 345 Blackstone Blvd Department Of Psychosocial Research, Providence, RI 02906. The listed phone number is (401) 455-6336.

What is Jennifer Primack's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jennifer Primack was last updated on March 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.