ETHAN MOITRA PH.D.
NPI 1699046276
Psychologist - Clinical in East Providence, RI

Q: What is Ethan Moitra's NPI number?

The NPI number for Ethan Moitra is 1699046276. It was assigned to this individual provider in the NPPES registry on January 13, 2012.

Q: What is Ethan Moitra's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ethan Moitra was last updated on January 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since January 13, 2012

400 MASSASOIT AVE STE 305, RICBT, EAST PROVIDENCE, RI 02914(401) 294-0451(401) 294-0461 Get Directions Write a Review

NPPES record last updated: January 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ethan Moitra Ph.d. NPPES

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

ETHAN MOITRA PH.D. (NPI 1699046276) is an individual clinical provider in East Providence, Rhode Island, licensed in Rhode Island (PS01274) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1699046276

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameETHAN MOITRACredential: PH.D.

Location Address400 MASSASOIT AVE STE 305, RICBTEast Providence, RI 02914-2012

Mailing Address400 Massasoit Ave Ste 305, RicbtEast Providence, RI 02914-2012 · (401) 294-0451 · Fax (401) 294-0461

Phone(401) 294-0451

Fax(401) 294-0461

Sole ProprietorNo

Enumeration DateJanuary 13, 2012

✔ NPI 1699046276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in RI · PS01274

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.

400 MASSASOIT AVE STE 305, East Providence, RI 02914

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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.

DR. CARA MURPHY PHD

Psychologist (Clinical)