JIWON MIN PHD
NPI 1326816398
Psychologist in East Providence, RI

Active since December 19, 2023PECOS Enrolled
400 MASSASOIT AVE STE 305, EAST PROVIDENCE, RI 02914(401) 294-0451 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jiwon Min Phd NPPES

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

JIWON MIN PHD (NPI 1326816398) is an individual psychologist in East Providence, Rhode Island, licensed in Rhode Island (PS02391) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1326816398
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJIWON MINCredential: PHD
Location Address400 MASSASOIT AVE STE 305East Providence, RI 02914-2012
Mailing Address455 Toll Gate Rd, Prc And CredentialingWarwick, RI 02886-2759 · (401) 273-0641 · Fax (401) 273-2919
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 19, 2023
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
NPI 1326816398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in RI · PS02391
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
400 MASSASOIT AVE STE 305, East Providence, RI 02914

Secondary Practice Locations 4

Location 11405 S County Trl Ste 3BEast Greenwich, RI 02818-5081 · Phone (401) 736-3731 · Fax (401) 732-8484
Location 22109 Hartford AveJohnston, RI 02919-3246 · Phone (401) 587-1000
Location 3345 Blackstone BlvdProvidence, RI 02906-4800 · Phone (401) 455-6226
Location 4227 Centerville Rd Fl 2Warwick, RI 02886-4330 · Phone (401) 736-3731 · Fax (401) 732-8484

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)

Jiwon Min Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082110440
PECOS Enrollment IDI20251003001813
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 19

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

Psychologist (Clinical)
400 MASSASOIT AVE STE 305
EAST PROVIDENCE, RI 02914
Psychologist (Clinical)
400 MASSASOIT AVE STE 305
EAST PROVIDENCE, RI 02914
Social Worker (Clinical)
400 MASSASOIT AVE STE 305
EAST PROVIDENCE, RI 02914
Nurse Practitioner (Psychiatric/Mental Health)
400 MASSASOIT AVE STE 305
EAST PROVIDENCE, RI 02914
Psychologist (Clinical)
400 MASSASOIT AVE STE 305
EAST PROVIDENCE, RI 02914
Psychologist
400 MASSASOIT AVE STE 305
EAST PROVIDENCE, RI 02914
Psychologist (Clinical)
400 MASSASOIT AVE STE 305
EAST PROVIDENCE, RI 02914
Psychiatry & Neurology (Child & Adolescent Psychiatry)
400 MASSASOIT AVE STE 305
EAST PROVIDENCE, RI 02914

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 Jiwon Min's NPI number?

The NPI number for Jiwon Min is 1326816398. It was assigned to this individual provider in the NPPES registry on December 19, 2023.

Where is Jiwon Min located?

Jiwon Min practices at 400 Massasoit Ave Ste 305, East Providence, RI 02914. The listed phone number is (401) 294-0451.

What is Jiwon Min's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jiwon Min enrolled in Medicare?

Yes. Jiwon Min is registered in the Medicare PECOS enrollment system.

What insurance does Jiwon Min accept?

Health plans from Harvard Pilgrim Health Care list Jiwon Min 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 Jiwon Min was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.