CHONLADA JARUKITISAKUL PHD
NPI 1962024869
Psychologist in Providence, RI
About Chonlada Jarukitisakul Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHONLADA JARUKITISAKUL PHD (NPI 1962024869) is an individual psychologist in Providence, Rhode Island, licensed in Rhode Island (PS01791) and active in the NPI registry since May 2020. She is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Chonlada Jarukitisakul Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Chonlada Jarukitisakul reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bethesda, MD 20814
- Reassigned Medicare billing, Rhode Island enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Chonlada Jarukitisakul's NPI number?
The NPI number for Chonlada Jarukitisakul is 1962024869. It was assigned to this individual provider in the NPPES registry on May 13, 2020.
Where is Chonlada Jarukitisakul located?
Chonlada Jarukitisakul practices at 450 Brook Street, Providence, RI 02906. The listed phone number is (401) 863-3476.
What is Chonlada Jarukitisakul's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Chonlada Jarukitisakul enrolled in Medicare?
Yes. Chonlada Jarukitisakul is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Chonlada Jarukitisakul's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chonlada Jarukitisakul reassigns Medicare benefits to Uplift Behavioral Health PC (Bethesda, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chonlada Jarukitisakul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Chonlada Jarukitisakul accept?
Health plans from Harvard Pilgrim Health Care list Chonlada Jarukitisakul as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Chonlada Jarukitisakul was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.