SOUTHCOAST PSYCHOLOGY,INC
NPI 1689886194
Psychologist in Providence, RI

Active since May 04, 2007
154 WATERMAN STREET, 3RD FLOOR WEST, PROVIDENCE, RI 02906(401) 241-2059 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southcoast Psychology,inc NPPES

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

SOUTHCOAST PSYCHOLOGY,INC (NPI 1689886194) is a healthcare organization registered as a psychologist in Providence, Rhode Island and active in the NPI registry since May 2007. The organization lists Thomas J. Petrouski, President, as its authorized official.

NPPES Registry Identity

NPI1689886194
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameSOUTHCOAST PSYCHOLOGY,INC
Location Address154 WATERMAN STREET, 3RD FLOOR WESTProvidence, RI 02906
Mailing AddressP.o. Box 642Assonet, MA 02702-1446 · (508) 644-1210 · Fax (508) 644-1210
Organization SubpartNo
Authorized OfficialThomas J. PetrouskiPresident · (508) 644-1210
Enumeration DateMay 4, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1689886194 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 · PS00719
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.
154 WATERMAN STREET, Providence, RI 02906

Other Identifiers 1

Medicaid#SS11558RI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Specialist
154 WATERMAN STREET
PROVIDENCE, RI 02906
Psychologist (Clinical)
154 WATERMAN STREET
PROVIDENCE, RI 02906

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 Southcoast Psychology,inc's NPI number?

The NPI number for Southcoast Psychology,inc is 1689886194. It was assigned to this organization in the NPPES registry on May 4, 2007.

Where is Southcoast Psychology,inc located?

Southcoast Psychology,inc is located at 154 Waterman Street 3rd Floor West, Providence, RI 02906. The listed phone number is (401) 241-2059.

What is Southcoast Psychology,inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Southcoast Psychology,inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.