Provider Demographics
NPI:1518118181
Name:LATINO PSYCHOLOGICAL INSTITUTE, INC.
Entity Type:Organization
Organization Name:LATINO PSYCHOLOGICAL INSTITUTE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:C
Authorized Official - Last Name:ARMESTO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:781-724-9007
Mailing Address - Street 1:PO BOX 2388
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-0388
Mailing Address - Country:US
Mailing Address - Phone:781-724-9007
Mailing Address - Fax:866-574-0234
Practice Address - Street 1:154 WATERMAN ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-3116
Practice Address - Country:US
Practice Address - Phone:781-724-9007
Practice Address - Fax:866-574-0234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-01
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPS01089103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty