Organization
PSYCHOLOGICAL SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA MELINDA CHAIT PH.D. (PRESIDENT)
(401) 615-5384
Entity
Organization
Contact information
Practice address
1020 PARK AVE, SUITE 213, CRANSTON, RI 02910-3227
(401) 808-0070
Mailing address
57 KNOTTY OAK SHRS, COVENTRY, RI 02816-7940
(401) 615-5384
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS00945
RI
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PS00945
RI
103TC2200X
Clinical Child & Adolescent Psychologist
PS00945
RI
103TS0200X
School Psychologist
PS00945
RI
Other
Enumeration date
12/26/2006
Last updated
09/11/2025
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