Provider Demographics
NPI:1831120260
Name:HERSHEY, STEVEN JOEL (PHD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:JOEL
Last Name:HERSHEY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 COLLEGE HILL RD
Mailing Address - Street 2:29C
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-2776
Mailing Address - Country:US
Mailing Address - Phone:401-822-4673
Mailing Address - Fax:401-822-4676
Practice Address - Street 1:33 COLLEGE HILL RD
Practice Address - Street 2:29C
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-2776
Practice Address - Country:US
Practice Address - Phone:401-822-4673
Practice Address - Fax:401-822-4676
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPS00586103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI05-0468084OtherUNITED HEALTH PLANS
RI6142230OtherUNITED HEALTH GEN ELEC
RI30024-1OtherBLUE CROSS & BLUE SHIELD
RI409250OtherCOORDINATED HEALTH PLANS
RI779628-601045OtherTUFTS HEALTH PLANS
RI6142230OtherUNITED HEALTH GEN ELEC