JENNIFER L DYL (NPI# 1114964350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114964350 |
| Entity Type | Individual |
| Full Name | JENNIFER L DYL |
| Credential | PHD |
| Practice Address |
31 Smith Ave Suite 2 Greenville RI 02828-1730 |
| Practice Telephone | 4013391816 |
| Practice Fax Number | 4018305729 |
| Mailing Telephone | 4013391816 |
| Mailing Fax Number | 4018305729 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2010-06-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS00725 | RI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | BLUE CROSS | 30156-5 | 01 |
| RI | BLUE CHIP | 408421 | 01 |
| Street Address |
31 SMITH AVE SUITE 2 |
| City | GREENVILLE |
| State | RI |
| Zip Code | 02828-1730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386048817 | Kyle Thomas Lacasse | Physical Therapist | 1 Garnett Lane, Greenville, RI 02828 | 2014-10-13 |
| 1366856056 | Jennifer Barton | Physician Assistant | 7 Smith Ave Ste 103, Greenville, RI 02828 | 2014-06-20 |
| 1780984963 | Bgm Enterprises LLC | Home Health | 7 Austin Avenue, Suite 5, Greenville, RI 02828 | 2010-10-22 |
| 1346411592 | Smithfield Pediatrics | Pediatrics | 7 Smith Avenue, Suite 103, Greenville, RI 02828 | 2008-03-16 |
| 1588842496 | Collins Optical Center | Technician/Technologist | 3 Commerce St, Unit 5, Greenville, RI 02828 | 2008-02-01 |
| 1043337330 | Cortland Place Health Center, Inc | Assisted Living Facility | 20 Austin Avenue, Greenville, RI 02828 | 2007-03-23 |
| 1750430500 | Dena L Carlone | Social Worker | 7 Austin Ave, Greenville, RI 02828 | 2007-01-10 |
| 1194822692 | Rhode Island Cvs Pharmacy, L.L.C. | Pharmacy | 445 Putnam Pike Apple Valley Mall, Greenville, RI 02828 | 2006-09-20 |
| 1720532054 | Hallie Bergen | Pharmacist | 452 Putnam Pike, Greenville, RI 02828 | 2016-08-03 |
| 1699194746 | Teresa Garris | Nurse Practitioner | 715 Putnam Pike, Greenville, RI 02828 | 2014-04-15 |
| Find all providers in zip 02828 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181125 | Christopher Moylan | Psychologist | 200 Patewood Dr Bldg A, Greenville, SC 29615-3593 | 2020-10-16 |
| 1861000978 | Lauren Gay Fontenot | Psychologist | 3453 Pelham Rd Ste 107, Greenville, SC 29615-7400 | 2020-07-15 |
| 1881247476 | Reliant Mental Health Services LLC | Psychologist | 221- 223 Adley Way Ste 221, Greenville, SC 29607-6511 | 2019-07-23 |
| 1295272078 | Stephanie Wallio | Psychologist | 1705 Rondo Dr, Greenville, NC 27858-5337 | 2017-01-31 |
| 1346690062 | Dale Lawrence Sanders | Psychologist | 4 Creekstone Ct, Greenville, SC 29609-4845 | 2016-06-14 |
| 1336587278 | Andrea Cantarelli | Psychologist | 3217 Meeting Pl, Greenville, NC 27858-8000 | 2013-06-13 |
| 1235478355 | Lowdergroup LLC | Psychologist | 86 Villa Rd Ste B, Greenville, SC 29615-3052 | 2013-02-08 |
| 1952699456 | Christy Mangione Walcott | Psychologist | 104 Rawl Bldg, Mailstop 565, Department of Psychology, Greenville, NC 27858-4353 | 2011-07-18 |
| 1720386683 | Ecu Pass Clinic | Psychologist | 311 Rawl Building, East 5th St., East Carolina University, Greenville, NC 27858-4353 | 2011-03-02 |
| 1336442953 | North Kent Guidance Serivces | Psychologist | 106 S Greenville West Dr, Suite 3, Greenville, MI 48838-3504 | 2010-12-21 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 02828 |
Please comment or provide details below to improve the information on JENNIFER L DYL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.