Provider Demographics
NPI:1306947080
Name:RINGELING, TAMRA A (PSYD)
Entity type:Individual
Prefix:
First Name:TAMRA
Middle Name:A
Last Name:RINGELING
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:TAMRA
Other - Middle Name:A
Other - Last Name:HASSELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:75 EAST ST
Mailing Address - Street 2:
Mailing Address - City:W WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02893
Mailing Address - Country:US
Mailing Address - Phone:401-823-7728
Mailing Address - Fax:
Practice Address - Street 1:300 CENTERVILLE RD
Practice Address - Street 2:SUITE 301 S
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-0208
Practice Address - Country:US
Practice Address - Phone:401-732-5656
Practice Address - Fax:401-738-8634
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPS00881103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
RITR41315Medicaid
RI290904OtherBLUE CROSS
RI412072OtherBLUE CHIP