Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Providence Behavioral Health Associates Inc

Organization Clinical Psychologist · NPI 1023142700

Providence Behavioral Health Associates Inc provides Clinical Psychologist services in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2007.

Licensed in
RI
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1075 Smith St
Providence, RI 02908-2700
Phone: (401) 369-9224
Fax: (401) 369-9275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS00948 (RI)

Record details

NPI number1023142700
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Todaro — Clinical Psychologist · (401) 369-9224
NPI enumeratedMarch 15, 2007
Last updated in NPPESMay 4, 2021
Certification dateMay 4, 2021
Mailing address1075 Smith St, Providence, RI 02908-2700

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