ANASTACIA Y. KUDINOVA
NPI 1316786668
Psychologist - Clinical Child & Adolescent in Providence, RI

Active since May 24, 2024PECOS Enrolled
1 HOPPIN ST, PROVIDENCE, RI 02903(401) 444-8945(401) 444-8742 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anastacia Y. Kudinova NPPES

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

ANASTACIA Y. KUDINOVA (NPI 1316786668) is an individual clinical child & adolescent provider in Providence, Rhode Island, licensed in Rhode Island (PS02153) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316786668
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameANASTACIA Y. KUDINOVA
Location Address1 HOPPIN STProvidence, RI 02903-4141
Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541
Fax(401) 444-8742
Sole ProprietorNo
Enumeration DateMay 24, 2024
Last NPPES UpdateJune 14, 2024
NPPES CertifiedJune 14, 2024
NPI 1316786668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License Licensed in RI · PS02153
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PS02153 (RI)
1 HOPPIN ST, Providence, RI 02903

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Anastacia Y. Kudinova is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Psychologist (Clinical Child & Adolescent)
1 HOPPIN ST, SUITE 204
PROVIDENCE, RI 02903
Pediatrics (Pediatric Cardiology)
1 HOPPIN ST, CORO CENTER SUITE 304
PROVIDENCE, RI 02903
Registered Nurse (Diabetes Educator)
1 HOPPIN ST, 3RD FLOOR
PROVIDENCE, RI 02903
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1 HOPPIN ST
PROVIDENCE, RI 02903
Psychologist
1 HOPPIN ST
PROVIDENCE, RI 02903
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
1 HOPPIN ST, SUITE 202
PROVIDENCE, RI 02903
Psychologist (Clinical Child & Adolescent)
1 HOPPIN ST, SUITE 204
PROVIDENCE, RI 02903
Specialist
1 HOPPIN ST, CORO WEST SUITE 304A
PROVIDENCE, RI 02903

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 Anastacia Kudinova's NPI number?

The NPI number for Anastacia Kudinova is 1316786668. It was assigned to this individual provider in the NPPES registry on May 24, 2024.

Where is Anastacia Kudinova located?

Anastacia Kudinova practices at 1 Hoppin St, Providence, RI 02903. The listed phone number is (401) 444-8945.

What is Anastacia Kudinova's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Anastacia Kudinova enrolled in Medicare?

Yes. Anastacia Kudinova is registered in the Medicare PECOS enrollment system.

What insurance does Anastacia Kudinova accept?

Health plans from Harvard Pilgrim Health Care list Anastacia Kudinova as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anastacia Kudinova was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.