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C.L.U.B BLESSED WEIGHT MANAGEMENT INC.
NPI 1891307187
Psychologist - Exercise & Sports in Pawtucket, RI

Active since August 19, 2020
250 MAIN ST, PAWTUCKET, RI 02860(774) 379-9761 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About C.l.u.b Blessed Weight Management Inc. NPPES

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

C.L.U.B BLESSED WEIGHT MANAGEMENT INC. (NPI 1891307187) is a healthcare organization registered as an exercise & sports in Pawtucket, Rhode Island and active in the NPI registry since August 2020. The organization lists Stephanie Jean Barboza, Fitness & Weight Management Coach, as its authorized official.

NPPES Registry Identity

NPI1891307187
Entity TypeOrganization
Primary Taxonomy103TE1100X
Legal Business NameC.L.U.B BLESSED WEIGHT MANAGEMENT INC.
Location Address250 MAIN STPawtucket, RI 02860-4016
Mailing Address102 Moore StProvidence, RI 02907-1505 · (774) 379-9761
Phone(774) 379-9761
Organization SubpartNo
Authorized OfficialStephanie Jean BarbozaFitness & Weight Management Coach · (774) 379-9761
Enumeration DateAugust 19, 2020
NPPES CertifiedAugust 19, 2020
✔ NPI 1891307187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Exercise & SportsBehavioral Health & Social Service Providers
Taxonomy Code103TE1100X
Definition
A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated with sports settings and organizations. APA recognizes sport psychology as a proficiency acquired after a doctoral degree in one of the primary areas of psychology and licensure as a psychologist. This proficiency does not include those who have earned a doctoral degree in sport psychology but are not licensed psychologists.
250 MAIN ST, Pawtucket, RI 02860
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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 2

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

C.L.U.B BLESSED WEIGHT MANAGEMENT INC.
Nutritionist (Nutrition, Education)
250 MAIN ST
PAWTUCKET, RI 02860
Providence County (774) 379-9761
MILAGROS MEDINA
Community Health Worker
250 MAIN ST
PAWTUCKET, RI 02860
Providence County (401) 261-5141

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 C.L.U.B Blessed Weight Management Inc.'s NPI number?

The NPI number for C.L.U.B Blessed Weight Management Inc. is 1891307187. It was assigned to this organization in the NPPES registry on August 19, 2020.

Where is C.L.U.B Blessed Weight Management Inc. located?

C.L.U.B Blessed Weight Management Inc. is located at 250 Main St, Pawtucket, RI 02860. The listed phone number is (774) 379-9761.

What is C.L.U.B Blessed Weight Management Inc.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Exercise & Sports, with taxonomy code 103TE1100X.

When was this NPI record last updated?

The NPPES record for C.L.U.B Blessed Weight Management Inc. was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.