DR. REBECCA ZISSERSON PH.D.
NPI 1871807545
Psychologist in Providence, RI

Active since August 04, 2010Opted out of Medicare · through Jun 20, 2027
245 WATERMAN ST STE 202, PROVIDENCE, RI 02906(401) 273-3322 Get Directions Write a Review

NPPES record last updated: December 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Rebecca Zisserson Ph.d. NPPES

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

DR. REBECCA ZISSERSON PH.D. (NPI 1871807545) is an individual psychologist in Providence, Rhode Island and active in the NPI registry since August 2010. She has opted out of Medicare through June 20, 2027.

NPPES Registry Identity

NPI1871807545
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. REBECCA ZISSERSONCredential: PH.D.
Location Address245 WATERMAN ST STE 202Providence, RI 02906-5215
Mailing Address245 Waterman St Ste 202Providence, RI 02906-5215 · (401) 273-3322
Sole ProprietorYes
Enumeration DateAugust 4, 2010
Last NPPES UpdateDecember 20, 2012
NPI 1871807545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
245 WATERMAN ST STE 202, Providence, RI 02906

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Rebecca Zisserson Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 20, 2025 through June 20, 2027.

Opt-Out Effective DateJune 20, 2025
Opt-Out In Effect ThroughJune 20, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
245 WATERMAN ST STE 202
PROVIDENCE, RI 02906
Psychologist (Clinical)
245 WATERMAN ST STE 202
PROVIDENCE, RI 02906

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 Rebecca Zisserson's NPI number?

The NPI number for Rebecca Zisserson is 1871807545. It was assigned to this individual provider in the NPPES registry on August 4, 2010.

Where is Rebecca Zisserson located?

Rebecca Zisserson practices at 245 Waterman St Ste 202, Providence, RI 02906. The listed phone number is (401) 273-3322.

What is Rebecca Zisserson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Rebecca Zisserson enrolled in Medicare?

No. Rebecca Zisserson has opted out of Medicare through June 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Rebecca Zisserson was last updated on December 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.