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KATHERINE TEZANOS PHD
NPI 1700601424
Psychologist - Clinical in Providence, RI

Active since November 18, 2024PECOS Enrolled
1 HOPPIN ST STE 204, PROVIDENCE, RI 02903(401) 444-8945 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2025, Nov 18, 2024 (2 updates tracked since 2024).

About Katherine Tezanos Phd NPPES

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

KATHERINE TEZANOS PHD (NPI 1700601424) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (PS02310) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1700601424
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKATHERINE TEZANOSCredential: PHD
Location Address1 HOPPIN ST STE 204Providence, RI 02903-4141
Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541
Phone(401) 444-8945
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 18, 2024
Last NPPES UpdateSeptember 9, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
✔ NPI 1700601424 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 · PS02310
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.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Tezanos Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769975697
PECOS Enrollment IDI20251201000468
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$177.03 typical visit price
range $58.57 – $177.03
Typical copayment $44.25 (range $14.64 – $44.25)
Most-billed visit code 99205
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

ELIZABETH COURTNEY THOMPSON PHD
Psychologist (Clinical Child & Adolescent)
1 HOPPIN ST STE 204
PROVIDENCE, RI 02903
Providence County (401) 444-8945
DR. CHRISTINE M NUNES PSYD
Psychologist (Clinical)
1 HOPPIN ST STE 204
PROVIDENCE, RI 02903
Providence County (401) 444-8945
DR. SHARANYA RAO PHD
Psychologist (Clinical)
1 HOPPIN ST STE 204
PROVIDENCE, RI 02903
Providence County (401) 793-8700
BRENDA MITCHELL MA
Clinical Neuropsychologist
1 HOPPIN ST STE 204
PROVIDENCE, RI 02903
Providence County (401) 444-8945
KAITLIN SHEERIN PHD
Student in an Organized Health Care Education/Training Program
1 HOPPIN ST STE 204
PROVIDENCE, RI 02903
Providence County (401) 793-8700
MOLLY BRAGA
Counselor (Mental Health)
1 HOPPIN ST STE 204
PROVIDENCE, RI 02903
Providence County (401) 793-8700
DR. JANET LOUISE ANDERSON ED.D.
Psychologist
1 HOPPIN ST STE 204
PROVIDENCE, RI 02903
Providence County (401) 444-8945
INGRID HASTEDT PHD
Clinical Neuropsychologist
1 HOPPIN ST STE 204
PROVIDENCE, RI 02903
Providence County (401) 444-8945

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 Katherine Tezanos's NPI number?

The NPI number for Katherine Tezanos is 1700601424. It was assigned to this individual provider in the NPPES registry on November 18, 2024.

Where is Katherine Tezanos located?

Katherine Tezanos practices at 1 Hoppin St Ste 204, Providence, RI 02903. The listed phone number is (401) 444-8945.

What is Katherine Tezanos's specialty?

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

Is Katherine Tezanos enrolled in Medicare?

Yes. Katherine Tezanos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katherine Tezanos was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.