Center for Dynamic and Behavioral Therapy LLC
NPI 1790207876 · Clinical Psychologist · Providence, RI
Center for Dynamic and Behavioral Therapy LLC is a Clinical Psychologist organization in Providence, RI (NPI 1790207876).
Provider details
- NPI number
- 1790207876
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Nicole Issa, Owner(401) 330-5882
- License
- PS01615 (RI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Pvd Psychological Associates
Additional practice locations (1)
- 150 Lloyd Ave # 1Providence, RI 02906-1553Phone: (401) 330-5882Fax: (401) 226-0137
Registry dates
- Enumerated
- 2017-07-11
- Last updated
- 2021-07-25
- Certified
- 2021-07-25
Frequently asked questions
- What is Center for Dynamic and Behavioral Therapy LLC's NPI number?
- Center for Dynamic and Behavioral Therapy LLC's National Provider Identifier (NPI) is 1790207876, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Center for Dynamic and Behavioral Therapy LLC?
- Center for Dynamic and Behavioral Therapy LLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Center for Dynamic and Behavioral Therapy LLC located?
- Center for Dynamic and Behavioral Therapy LLC's practice location on file with NPPES is 382 Thayer St, Providence, RI 02906-1558.
- What is Center for Dynamic and Behavioral Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Center for Dynamic and Behavioral Therapy LLC is (401) 330-5882.
- Who is the authorized official for Center for Dynamic and Behavioral Therapy LLC?
- The authorized official listed on Center for Dynamic and Behavioral Therapy LLC's NPPES record is Nicole Issa, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Center for Dynamic and Behavioral Therapy LLC's NPI active?
- Yes — Center for Dynamic and Behavioral Therapy LLC's NPI (1790207876) is active in the NPPES registry as of the last update on 2021-07-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.