IndividualActive
Benjamin Goldwasser
NPI 1497624761 · Clinical Psychologist · Providence, RI
Provider details
- NPI number
- 1497624761
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PS02406 (RI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
830 Chalkstone Ave
Providence, RI 02908-4734
Phone: (401) 274-7100
Approximate (ZIP-level) locationGet directions
Mailing address
830 Chalkstone Ave
Providence, RI 02908-4734
Registry dates
- Enumerated
- 2025-11-04
- Last updated
- 2025-11-04
- Certified
- 2025-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.