East Bay Psychological Services LLC
NPI 1790662732 · Clinical Psychologist · Newport, RI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
East Bay Psychological Services LLC is a Clinical Psychologist organization in Newport, RI (NPI 1790662732).
Provider details
- NPI number
- 1790662732
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Mark Kilmer, Owner(303) 995-1188
Specialties & taxonomies
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
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2025-08-20
- Last updated
- 2025-08-26
- Certified
- 2025-08-26
Frequently asked questions
- What is East Bay Psychological Services LLC's NPI number?
- East Bay Psychological Services LLC's National Provider Identifier (NPI) is 1790662732, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Bay Psychological Services LLC?
- East Bay Psychological Services LLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is East Bay Psychological Services LLC located?
- East Bay Psychological Services LLC's practice location on file with NPPES is 513 Broadway, Newport, RI 02840-1471.
- What is East Bay Psychological Services LLC's phone number?
- The practice phone number listed in the NPPES registry for East Bay Psychological Services LLC is (303) 995-1188.
- Does East Bay Psychological Services LLC accept Medicare?
- East Bay Psychological Services LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for East Bay Psychological Services LLC?
- The authorized official listed on East Bay Psychological Services LLC's NPPES record is Mark Kilmer, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Bay Psychological Services LLC's NPI active?
- Yes — East Bay Psychological Services LLC's NPI (1790662732) is active in the NPPES registry as of the last update on 2025-08-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.