CHONLADA JARUKITISAKUL


Address: 69 Brown Street Page-robinson Hall 512, Providence, RI 02912-0001
Phone: 4018633476

CHONLADA JARUKITISAKUL (NPI# 1962024869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962024869
Entity Type Individual
Full Name CHONLADA JARUKITISAKUL
Credential PHD
Practice Address 69 Brown Street Page-robinson Hall 512
Providence
RI 02912-0001
Mailing Address 69 Brown Street Box 1960
Providence
RI 02912-0001
Practice Telephone 4018633476
Enumeration Date 2020-05-13
Last Update Date 2020-05-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PS01791 RI Behavioral Health & Social Service Providers
N 103T00000X Psychologist 11069-PY-PR MA Behavioral Health & Social Service Providers

Office Location

Street Address 69 BROWN STREET PAGE-ROBINSON HALL 512
City PROVIDENCE
State RI
Zip Code 02912-0001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265556872 Tor Clark Physician Assistant Brown University Health Service, Box 1928, Providence, RI 02912 2007-03-19
1477527182 Tanya Christine Sullivan Nurse Practitioner 13 Brown Street Andrews House, Providence, RI 02912 2006-02-17
1417363151 Beth Conroy Specialist/Technologist 235 Hope St, Box 1933, Providence, RI 02912 2014-07-02
1861567323 Laura N. Ward Nurse Practitioner 13 Brown St, Providence, RI 02912 2006-11-21
1194337220 Shannon Adams Student in an Organized Health Care Education/Training Program Brown University Box G-9999, Providence, RI 02912-0001 2020-08-19
1730747502 Kristian Georgiev Student in an Organized Health Care Education/Training Program Brown University Box G-9525, Providence, RI 02912-0001 2019-06-05
1881184042 Diane Farber Psychologist Brown University Counseling and Psychological Services, Providence, RI 02912-0001 2018-05-14
1558758664 Brian Michael Daigneault Specialist/Technologist 229 Hope St Box 1933, Providence, RI 02912-0001 2015-04-16
1346647450 Kate Carey Psychologist Po Box G-s121, Brown University School of Public Health, Providence, RI 02912-0001 2014-12-04
1306188909 Albert Edward Dahlberg General Practice 185 Meeting St, Room L-254, Sfh, Brown University, Providence, RI 02912-0001 2013-03-21
Find all providers in zip 02912

Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366053803 Trisha Lynn Arnold Psychologist 491 Hope St, Providence, RI 02906-1630 2020-08-10
1356970099 Alberto Soto Psychologist 843 Smith St, Providence, RI 02908-2852 2020-04-05
1942837885 Kristen Wesbecher Psychologist 830 Chalkstone Ave Bldg 1e315, Providence, RI 02908-4734 2020-03-23
1497395487 Erin Sweeney Psychologist 245 Waterman St Ste 200, Providence, RI 02906-5215 2020-01-08
1003454315 Livia Freier Psychologist 38 N Court St, Providence, RI 02903-1266 2019-12-17
1154809812 Alejandro Leguizamo Psychologist 20 Cathedral Ave, Providence, RI 02908-1929 2018-08-03
1417467580 Joshua Barry Plummer Psychologist 2 Regency Plz Ste 12, Providence, RI 02903-3143 2017-10-03
1538694864 Michele Zager Psychologist 269 S Main St Ste A, Providence, RI 02903-7130 2017-04-24
1225480171 Brion Carroll Psychologist 205 Sessions St, Providence, RI 02906-3442 2016-07-04
1861893059 Katharine Brough Psychologist 14 Mayflower St, Providence, RI 02906-3526 2014-09-08
Find all providers in PROVIDENCE

Competitor

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City PROVIDENCE
Zip Code 02912

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Dataset Information

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.

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