Ronald W Thebarge, PHD | |
1 Hoppin St, Coro Center, 3rd Floor, Providence, RI 02903-4141 | |
(401) 793-8770 | |
Not Available |
Full Name | Ronald W Thebarge |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 35 Years |
Location | 1 Hoppin St, Providence, Rhode Island |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922086081 | NPI | - | NPPES |
407727 | Other | RI | BLUECHIP |
30534-9 | Other | RI | BCBS RI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PS00437 (Rhode Island) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ricbt, Inc. | 7517854995 | 15 |
Entity Name | Ricbt, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780776476 PECOS PAC ID: 7517854995 Enrollment ID: O20040301000979 |
Entity Name | Optum Behavioral Care Of Connecticut Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659152726 PECOS PAC ID: 9436502879 Enrollment ID: O20240311000275 |
Mailing Address | Practice Location Address |
---|---|
Ronald W Thebarge, PHD Po Box 3238, Boston, MA 02241-3238 Ph: (866) 689-8862 | Ronald W Thebarge, PHD 1 Hoppin St, Coro Center, 3rd Floor, Providence, RI 02903-4141 Ph: (401) 793-8770 |
Julie Elizabeth Morris, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 146 W River St, Suite 11a, Providence, RI 02904 Phone: 401-793-8770 Fax: 401-793-8709 | |
Alexandrea L Craft, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 50 Holden St, Providence, RI 02908 Phone: 401-453-7640 Fax: 401-453-7646 | |
Dr. Livia Freier, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 38 N Court St, Providence, RI 02903 Phone: 401-484-7050 | |
Debra J Lobato-barrera, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Hoppin St, Suite 204, Providence, RI 02903 Phone: 401-444-8945 Fax: 401-444-8742 | |
Mrs. Gladys V Rezendes, MSW LICSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 118 Comstock Avenue, Providence, RI 02907 Phone: 401-621-5882 Fax: 501-621-8463 | |
Mrs. Rhonda L Sabo, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 341 Broadway, Providence, RI 02909 Phone: 401-453-5100 | |
Dr. Andrew Jonah Taytslin, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Richmond Sq Ste 300e, Providence, RI 02906 Phone: 401-349-3131 |