MS. TINATIN SURGULADZE DH.D.
NPI 1700289360
Psychologist in Providence, RI

Active since September 26, 2014
205 WATERMAN ST SUITE 106, PROVIDENCE, RI 02906(857) 333-0533 Get Directions Write a Review

NPPES record last updated: April 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Tinatin Surguladze Dh.d. NPPES

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

MS. TINATIN SURGULADZE DH.D. (NPI 1700289360) is an individual psychologist in Providence, Rhode Island, licensed in Rhode Island (PS01795) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1700289360
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMS. TINATIN SURGULADZECredential: DH.D.
Location Address205 WATERMAN ST SUITE 106Providence, RI 02906
Mailing Address3 Burgess RdFoster, RI 02825 · (857) 333-0533
Sole ProprietorNo
Enumeration DateSeptember 26, 2014
Last NPPES UpdateApril 29, 2020
NPPES CertifiedApril 29, 2020
NPI 1700289360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in RI · PS01795 Licensed in MA · 11259
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.
Also ListedCounselorTaxonomy 101Y00000X
205 WATERMAN ST SUITE 106, 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 Tinatin Surguladze's NPI number?

The NPI number for Tinatin Surguladze is 1700289360. It was assigned to this individual provider in the NPPES registry on September 26, 2014.

Where is Tinatin Surguladze located?

Tinatin Surguladze practices at 205 Waterman St Suite 106, Providence, RI 02906. The listed phone number is (857) 333-0533.

What is Tinatin Surguladze'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 Tinatin Surguladze was last updated on April 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.