| Gershon Psychological Associates, Llc | |
|
400 Bald Hill Rd, Suite 530 Warwick RI 02886-1617 | |
| (401) 349-3131 | |
| (401) 921-5109 |
| Full Name | Gershon Psychological Associates, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 400 Bald Hill Rd, Suite 530, Warwick, Rhode Island |
| Authorized Official Name and Position | Jonathan Gershon (OWNER) |
| Authorized Official Contact | 4013493131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gershon Psychological Associates, Llc 400 Bald Hill Rd, Suite 530 Warwick RI 02886-1617 Ph: (401) 349-3131 | Gershon Psychological Associates, Llc 400 Bald Hill Rd, Suite 530 Warwick RI 02886-1617 Ph: (401) 349-3131 |
| NPI Number | 1538366935 |
|---|---|
| Provider Enumeration Date | 06/28/2007 |
| Last Update Date | 04/06/2010 |
| Medicare PECOS PAC ID | 9335225598 |
|---|---|
| Medicare Enrollment ID | O20080429000626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538366935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS00833 (Rhode Island) | Primary |
| Provider Name | Joseph E. Faulkner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467575746 PECOS PAC ID: 1759301518 Enrollment ID: I20051123000248 |
| Provider Name | Lisa A Mansfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346363629 PECOS PAC ID: 3274608047 Enrollment ID: I20080814000116 |
| Provider Name | Michael Gershon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437275104 PECOS PAC ID: 3678659836 Enrollment ID: I20080925000033 |
| Provider Name | Diane L Whipple |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831359975 PECOS PAC ID: 2668786088 Enrollment ID: I20150729009406 |
| Provider Name | Andrea M Johnstone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366881534 PECOS PAC ID: 2567731730 Enrollment ID: I20170630001759 |
| Provider Name | Diane L Marolla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538646500 PECOS PAC ID: 7214261874 Enrollment ID: I20200930003130 |
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