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Center for Dynamic and Behavioral Therapy LLC

Clinical Psychologist in Providence, RI · enumerated 2017 · authorized official Nicole Issa, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790207876

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Registry record

Entity type Organization (Type 2)
Legal business name Center for Dynamic and Behavioral Therapy LLC
Other name <Unavail>
Practice address 382 Thayer St, Providence, RI, 02906
Fax (401) 226-0137
Enumeration date Jul 11, 2017
Last updated in NPPES Jul 25, 2021

Taxonomy & classification

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License PS01616 (RI) Primary
103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License PS01615 (RI) Secondary

Authorized official

Name Nicole Issa
Title Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Center for Dynamic and Behavioral Therapy LLC?
The NPI for Center for Dynamic and Behavioral Therapy LLC is 1790207876, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Center for Dynamic and Behavioral Therapy LLC?
NPPES lists Nicole Issa (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-07-25.