ALYSSA NICOLE DE VITO-IZZO PHD
NPI 1336015445
Clinical Neuropsychologist in Providence, RI

Q: What is Alyssa De Vito-izzo's NPI number?

The NPI number for Alyssa De Vito-izzo is 1336015445. It was assigned to this individual provider in the NPPES registry on October 15, 2025. The provider is also known as Alyssa De Vito Phd.

Q: What is Alyssa De Vito-izzo's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Active since October 15, 2025PECOS Enrolled

345 BLACKSTONE BLVD, PROVIDENCE, RI 02906(401) 455-6200(401) 455-6689 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Alyssa Nicole De Vito-izzo Phd NPPES

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

ALYSSA NICOLE DE VITO-IZZO PHD (NPI 1336015445) is an individual clinical neuropsychologist in Providence, Rhode Island, licensed in Rhode Island (PS02346) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1336015445

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameALYSSA NICOLE DE VITO-IZZOCredential: PHD

Location Address345 BLACKSTONE BLVDProvidence, RI 02906-4800

Mailing Address455 Toll Gate Road, Prc And CredentialingWarwick, RI 02886-2759 · (401) 273-0641 · Fax (401) 273-2919

Phone(401) 455-6200

Fax(401) 455-6689

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 15, 2025

Last NPPES UpdateOctober 23, 2025

NPPES CertifiedOctober 23, 2025

✔ NPI 1336015445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in RI · PS02346

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

345 BLACKSTONE BLVD, Providence, RI 02906

Open in Google Maps ↗

Other Names 1

Professional Name (2)Alyssa De Vito Phd

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa Nicole De Vito-izzo Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254821663

PECOS Enrollment IDI20251105000740

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.

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 Alyssa De Vito-izzo's NPI number?

The NPI number for Alyssa De Vito-izzo is 1336015445. It was assigned to this individual provider in the NPPES registry on October 15, 2025. The provider is also known as Alyssa De Vito Phd.

Where is Alyssa De Vito-izzo located?

Alyssa De Vito-izzo practices at 345 Blackstone Blvd, Providence, RI 02906. The listed phone number is (401) 455-6200.

What is Alyssa De Vito-izzo's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Alyssa De Vito-izzo enrolled in Medicare?

Yes. Alyssa De Vito-izzo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alyssa De Vito-izzo was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.