Organization
INFORMED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRYSTAL MACHADO PSYD (PSYCHOLOGIST/OWNER)
(401) 777-7924
Entity
Organization
Contact information
Practice address
269 GREENVILLE AVE UNIT E, JOHNSTON, RI 02919-2656
(401) 777-7924
(401) 443-8833
Mailing address
269 GREENVILLE AVE UNIT E, JOHNSTON, RI 02919-2656
(401) 777-7924
(401) 443-8833
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103T00000X
Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TS0200X
School Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093140303
—
RI
Enumeration date
07/24/2024
Last updated
09/15/2025
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