Provider Demographics
NPI:1952565574
Name:KITEI, NICOLE SCHNEIDER (PHD)
Entity Type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:SCHNEIDER
Last Name:KITEI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 CUMBERLAND ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-3323
Mailing Address - Country:US
Mailing Address - Phone:401-356-1940
Mailing Address - Fax:401-356-1949
Practice Address - Street 1:68 CUMBERLAND ST
Practice Address - Street 2:SUITE 102
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895-3323
Practice Address - Country:US
Practice Address - Phone:401-356-1940
Practice Address - Fax:401-359-1949
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-13
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPS01039103TC0700X, 103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1952565574OtherUNITED HEALTHCARE
RINK72239OtherRITE SHARE
RI1952565574OtherBLUE CHIP RHODE ISLAND
RI1952565574OtherBLUE CROSS BLUE SHIELD
RINK72239Medicaid
RI007060421Medicare PIN