Provider Demographics
NPI:1699557512
Name:RISE PSYCHOLOGICAL SERVICES
Entity type:Organization
Organization Name:RISE PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JALEESA
Authorized Official - Middle Name:
Authorized Official - Last Name:FREITAS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:774-473-3114
Mailing Address - Street 1:111 GULF RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02748-1514
Mailing Address - Country:US
Mailing Address - Phone:916-693-2424
Mailing Address - Fax:
Practice Address - Street 1:88 FAUNCE CORNER MALL RD UNIT 260
Practice Address - Street 2:
Practice Address - City:NORTH DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-6211
Practice Address - Country:US
Practice Address - Phone:916-693-2424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-16
Last Update Date:2024-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty