DR. KELLEY HARRISON PISTACCHIO PH.D
NPI 1780713735
Psychologist - Group Psychotherapy in Providence, RI
NPI Status: Active since March 05, 2007
Contact Information
610 MANTON AVE
PROVIDENCE, RI
ZIP 02909
Phone: (401) 274-6310
Fax: (401) 421-1977
- Individual
- Female
- Psychologist
- Group Psychotherapy
- PECOS Enrolled
About KELLEY PISTACCHIO
This page provides the complete NPI Profile along with additional information for Kelley Pistacchio, a provider established in Providence, Rhode Island with a medical specialization in Psychologist, focusing in group psychotherapy . The healthcare provider is registered in the NPI registry with number 1780713735 assigned on March 2007. The practitioner's primary taxonomy code is 103TP2701X with license number PS00680 (RI). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1780713735
- Provider Name
- DR. KELLEY HARRISON PISTACCHIO PH.D
- Other Name
- DR. KELLEY HARRISON PH.D
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 610 MANTON AVE PROVIDENCE, RI 02909
- Location Phone
- (401) 274-6310
- Location Fax
- (401) 421-1977
- Mailing Address
- 122 JANE ST NORTH PROVIDENCE, RI 02904
- Mailing Phone
- (401) 274-6310
- Mailing Fax
- (401) 421-1977
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-05-2007
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Group Psychotherapy
- Taxonomy Code
- 103TP2701X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PS00680
- License State
- RI
- Taxonomy Description
- A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | PS00680 (RI) |
| 2 | 103TB0200X | Behavioral Health & Social Service Providers | Psychologist | PS00680 (RI) |
| 3 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | PS00680 (RI) |
| 4 | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | PS00680 (RI) |
| 5 | 103TM1800X | Behavioral Health & Social Service Providers | Psychologist | PS00680 (RI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 410468 | OTHER (01) | RI | BLUE CHIP |
| KH29823 | MEDICAID (05) | RI | |
| 30189-1 | OTHER (01) | RI | BLUE CROSS |
| 61-00006 | OTHER (01) | RI | UNITED BEHAVIORAL HEALTH |
Medicare Participation & PECOS Enrollment Status
Kelley Pistacchio is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for DR. KELLEY HARRISON PISTACCHIO PH.D
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1780713735, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PROVIDENCE, RI 02909
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780713735, enumerated as an "individual" on March 05, 2007.
The provider is located at 610 MANTON AVE PROVIDENCE, RI 02909 and the phone number is (401) 274-6310.
Psychologist with taxonomy code 103TP2701X and a focus in Group Psychotherapy.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
