| Elevate Psychological Services, Llc | |
|
58 Main St Ste 303 East Greenwich RI 02818-3888 | |
| (401) 626-5334 | |
| Not Available |
| Full Name | Elevate Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 58 Main St Ste 303, East Greenwich, Rhode Island |
| Authorized Official Name and Position | Tara B Bogs (PSYCHOLOGIST/ OWNER) |
| Authorized Official Contact | 4016265334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate Psychological Services, Llc 147 Blueberry Dr East Greenwich RI 02818-2615 Ph: (401) 626-5334 | Elevate Psychological Services, Llc 58 Main St Ste 303 East Greenwich RI 02818-3888 Ph: (401) 626-5334 |
| NPI Number | 1467189217 |
|---|---|
| Provider Enumeration Date | 08/02/2022 |
| Last Update Date | 08/02/2022 |
| Certification Date | 08/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467189217 | NPI | - | NPPES |
| 1043385081 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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