Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHONLADA JARUKITISAKUL PHD
NPI 1962024869
Psychologist in Providence, RI

Active since May 13, 2020
450 BROOK STREET, PROVIDENCE, RI 02906(401) 863-3476 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2026, May 13, 2020 (2 updates tracked since 2020).

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

NPI1962024869
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameCHONLADA JARUKITISAKULCredential: PHD
Location Address450 BROOK STREETProvidence, RI 02906
Mailing Address69 Brown Street Box 1960Providence, RI 02912-0001
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMay 13, 2020
Last NPPES UpdateAugust 13, 20262 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
NPI 1962024869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in RI · PS01791 Licensed in MA · 11069-PY-PR
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.
450 BROOK STREET, Providence, RI 02906

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Chonlada Jarukitisakul Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466917737
PECOS Enrollment IDI20260717002256

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.

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 9 days 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.