JACOB LUKE VARELA PSYD
NPI 1699585190
Clinical Neuropsychologist in Providence, RI

Active since January 08, 2025PECOS EnrolledAccepts Medicare Assignment
345 BLACKSTONE BLVD STE 2, PROVIDENCE, RI 02906(844) 401-0111 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 17, 2025, Jan 8, 2025 (2 updates tracked since 2025).

About Jacob Luke Varela Psyd NPPES

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

JACOB LUKE VARELA PSYD (NPI 1699585190) is an individual clinical neuropsychologist in Providence, Rhode Island, licensed in Rhode Island (PS02308) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1699585190
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameJACOB LUKE VARELACredential: PSYD
Location Address345 BLACKSTONE BLVD STE 2Providence, RI 02906-4829
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 DateJanuary 8, 2025
Last NPPES UpdateJune 17, 20252 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
NPI 1699585190 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 · PS02308
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 STE 2, Providence, RI 02906

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 and accepts Medicare assignment

Jacob Luke Varela Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729509898
PECOS Enrollment IDI20250305001492
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.

Counselor (Mental Health)
345 BLACKSTONE BLVD STE 2
PROVIDENCE, RI 02906
Psychologist
345 BLACKSTONE BLVD STE 2
PROVIDENCE, RI 02906
Psychologist (Clinical)
345 BLACKSTONE BLVD STE 2
PROVIDENCE, RI 02906
Counselor (Addiction (Substance Use Disorder))
345 BLACKSTONE BLVD STE 2
PROVIDENCE, RI 02906
Counselor (Mental Health)
345 BLACKSTONE BLVD STE 2
PROVIDENCE, RI 02906
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD STE 2
PROVIDENCE, RI 02906
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD STE 2
PROVIDENCE, RI 02906
Occupational Therapist
345 BLACKSTONE BLVD STE 2
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 Jacob Varela's NPI number?

The NPI number for Jacob Varela is 1699585190. It was assigned to this individual provider in the NPPES registry on January 8, 2025.

Where is Jacob Varela located?

Jacob Varela practices at 345 Blackstone Blvd Ste 2, Providence, RI 02906. The listed phone number is (844) 401-0111.

What is Jacob Varela's specialty?

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

Is Jacob Varela enrolled in Medicare?

Yes. Jacob Varela is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacob Varela accept?

Health plans from Harvard Pilgrim Health Care list Jacob Varela 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 Jacob Varela was last updated on June 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.