EAST BAY PSYCHOLOGICAL SERVICES LLC
NPI 1790662732
Psychologist - Clinical in Newport, RI

Active since August 20, 2025
513 BROADWAY, NEWPORT, RI 02840(303) 995-1188 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About East Bay Psychological Services Llc NPPES

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

EAST BAY PSYCHOLOGICAL SERVICES LLC (NPI 1790662732) is a healthcare organization registered as a clinical in Newport, Rhode Island and active in the NPI registry since August 2025. The organization lists Mark E. Kilmer, Owner, as its authorized official.

NPPES Registry Identity

NPI1790662732
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameEAST BAY PSYCHOLOGICAL SERVICES LLC
Location Address513 BROADWAYNewport, RI 02840-1471
Mailing Address513 BroadwayNewport, RI 02840-1471 · (303) 995-1188
Organization SubpartNo
Authorized OfficialMark E. KilmerOwner · (303) 995-1188
Enumeration DateAugust 20, 2025
Last NPPES UpdateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
NPI 1790662732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
513 BROADWAY, Newport, RI 02840

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner (Psychiatric/Mental Health)
513 BROADWAY
NEWPORT, RI 02840
Social Worker (Clinical)
513 BROADWAY
NEWPORT, RI 02840
Counselor (Mental Health)
513 BROADWAY
NEWPORT, RI 02840
Student in an Organized Health Care Education/Training Program
513 BROADWAY
NEWPORT, RI 02840
Social Worker
513 BROADWAY
NEWPORT, RI 02840
Counselor (Mental Health)
513 BROADWAY
NEWPORT, RI 02840
Student in an Organized Health Care Education/Training Program
513 BROADWAY
NEWPORT, RI 02840
Psychologist (Clinical)
513 BROADWAY
NEWPORT, RI 02840

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 East Bay Psychological Services LLC's NPI number?

The NPI number for East Bay Psychological Services LLC is 1790662732. It was assigned to this organization in the NPPES registry on August 20, 2025.

Where is East Bay Psychological Services LLC located?

East Bay Psychological Services LLC is located at 513 Broadway, Newport, RI 02840. The listed phone number is (303) 995-1188.

What is East Bay Psychological Services LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for East Bay Psychological Services LLC was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.