Robert Jack Mendelsohn
Clinical Psychologist
189 Butler Ave
Providence
, Rhode Island 02906-5310
Robert Jack Mendelsohn
Clinical Psychologist
189 Butler Ave
Providence
, Rhode Island 02906-5310
(401) 831-4747
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Robert Jack Mendelsohn
- 189 Butler Ave
- Providence, RI
- Zip : 02906-5310
- Fax : (401) 831-4747
- Phone : (401) 831-4747
Second Address
- Robert Jack Mendelsohn
- 189 Butler Ave
- Providence, RI
- Zip : 02906-5310
- Fax : (401) 831-4747
- Phone : (401) 831-4747
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Is Robert Jack Mendelsohn a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | PS00207 | RI |
| Y | 103TC0700X | Clinical Psychologist | PS00207 | RI |
National Provider Identifier
| NPI | 1003996489 |
|---|---|
| Provider Name | Robert Jack Mendelsohn |
| First Address | Providence, RI 02906-5310 |
| Second Address | Providence, RI 02906-5310 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 6109897 | UNITED BEHAVIORAL HEALTH (01) | RI |
| 92117 | RI BLUE CROSS BLUE SHIELD (01) | RI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.