Jack Nassau, PHD

Individual Active
NPI 1750367868
Clinical Child & Adolescent Psychologist Providence, RI

Jack Nassau, PHD is a clinical child & adolescent psychologist practicing in Providence, RI. The NPI was issued on December 20, 2005, and the record was last updated in NPPES on January 19, 2012. The record lists 2 taxonomy codes.

This record hasn't been updated in NPPES since 2012. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Clinical Child & Adolescent Psychologist Primary 103TC2200X PS00644 (RI)
Clinical Psychologist 103TC0700X PS00644 (RI)

Practice location

1 Hoppin St
Suite 204
Providence, RI 02903-4141
Phone: (401) 444-8945

Local context

Active NPPES records list 81 providers with clinical child & adolescent psychologist as the primary taxonomy within 25 miles of this practice location's ZIP code, 69 of them within 10 miles.

The same primary taxonomy is listed by 81 in Rhode Island and 5,827 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Jack Howard Nassau
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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