PVD PSYCHOLOGICAL ASSOCIATES
NPI 1790207876
Psychologist - Clinical in Providence, RI

Q: What is Center For Dynamic And Behavioral Therapy LLC's specialty?

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

Active since July 11, 2017

382 THAYER ST, PROVIDENCE, RI 02906(401) 330-5882(401) 226-0137 Get Directions Write a Review

NPPES record last updated: July 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2021, Jan 31, 2020, Jun 20, 2019 and 2 more (5 updates tracked since 2017).

On this page

About Pvd Psychological Associates NPPES

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

PVD PSYCHOLOGICAL ASSOCIATES (NPI 1790207876) is a healthcare organization registered as a clinical in Providence, Rhode Island and active in the NPI registry since July 2017. The organization maintains a secondary practice location in Providence and lists Nicole Issa, Owner, as its authorized official.

NPPES Registry Identity

NPI1790207876

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameCENTER FOR DYNAMIC AND BEHAVIORAL THERAPY LLC

Location Address382 THAYER STProvidence, RI 02906-1558

Mailing Address11 S Angell St # 405Providence, RI 02906-5206 · (401) 330-5882 · Fax (401) 226-0137

Phone(401) 330-5882

Fax(401) 226-0137

Organization SubpartNo

Authorized OfficialNicole IssaOwner · (401) 330-5882

Enumeration DateJuly 11, 2017

Last NPPES UpdateJuly 25, 20215 updates tracked since enumeration

NPPES CertifiedJuly 25, 2021

✔ NPI 1790207876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in RI · PS01616✔ Licensed in RI · PS01615

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.

382 THAYER ST, Providence, RI 02906

Open in Google Maps ↗

Other Names 1

Doing Business AsPvd Psychological Associates

Secondary Practice Location 1

Location 1150 Lloyd Ave # 1Providence, RI 02906-1553 · Phone (401) 330-5882 · Fax (401) 226-0137

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

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

NAIKA JOSEPH LICSW

Social Worker (Clinical)