JACK HOWARD NASSAU PHD
NPI 1750367868
Psychologist - Clinical Child & Adolescent in Providence, RI

Q: What is Jack Nassau's NPI number?

The NPI number for Jack Nassau is 1750367868. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Q: What is Jack Nassau's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Jack Nassau was last updated on January 19, 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 December 20, 2005

1 HOPPIN ST, SUITE 204, PROVIDENCE, RI 02903(401) 444-8945(401) 444-8742 Get Directions Write a Review

NPPES record last updated: January 19, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Jack Howard Nassau Phd NPPES

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

JACK HOWARD NASSAU PHD (NPI 1750367868) is an individual clinical child & adolescent provider in Providence, Rhode Island, licensed in Rhode Island (PS00644) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1750367868

Entity TypeIndividualMale

Primary Taxonomy103TC2200X

Provider Legal NameJACK HOWARD NASSAUCredential: PHD

Location Address1 HOPPIN ST, SUITE 204Providence, RI 02903-4141

Mailing Address593 Eddy St, Apc 978Providence, RI 02903-4923 · (401) 444-4318 · Fax (401) 444-7865

Phone(401) 444-8945

Fax(401) 444-8742

Sole ProprietorNo

Enumeration DateDecember 20, 2005

Last NPPES UpdateJanuary 19, 2012

✔ NPI 1750367868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in RI · PS00644

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PS00644 (RI)

1 HOPPIN ST, Providence, RI 02903

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Other Identifiers 2

Medicare UPINS95858

Medicare ID-Type Unspecified007007539

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.

DEBRA J LOBATO-BARRERA PHD

Psychologist (Clinical Child & Adolescent)

1 HOPPIN ST, SUITE 204
PROVIDENCE, RI 02903

Providence County (401) 444-8945

SARA REGAN FORD MD

Pediatrics (Pediatric Cardiology)

1 HOPPIN ST, CORO CENTER SUITE 304
PROVIDENCE, RI 02903

Providence County (401) 444-4612

MARGARET CODISPOTI R.N., CDOE

Registered Nurse (Diabetes Educator)

1 HOPPIN ST, 3RD FLOOR
PROVIDENCE, RI 02903

Providence County (401) 793-8400

DAVID CARLSEN-LANDY MD

Psychiatry & Neurology (Child & Adolescent Psychiatry)

1 HOPPIN ST
PROVIDENCE, RI 02903

Providence County (972) 689-9471

KANDACE WEBB MOSSING

Psychologist

1 HOPPIN ST
PROVIDENCE, RI 02903

Providence County (401) 793-8806

MICHAEL E MIGLIORI MD

Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)

1 HOPPIN ST, SUITE 202
PROVIDENCE, RI 02903

Providence County (401) 444-6551

MICHAEL WALTHER

Psychologist (Clinical Child & Adolescent)

1 HOPPIN ST, SUITE 204
PROVIDENCE, RI 02903

Providence County (401) 444-8945

RHODE ISLAND HOSPITAL

Specialist

1 HOPPIN ST, CORO WEST SUITE 304A
PROVIDENCE, RI 02903

Providence County (401) 444-8639

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 Jack Nassau's NPI number?

The NPI number for Jack Nassau is 1750367868. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Where is Jack Nassau located?

Jack Nassau practices at 1 Hoppin St Suite 204, Providence, RI 02903. The listed phone number is (401) 444-8945.

What is Jack Nassau's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Jack Nassau was last updated on January 19, 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.