Chonlada Jarukitisakul, PHD
NPI 1962024869ActiveIndividual· Psychologist· Providence, RI
Psychologist (PHD) in Providence, Rhode Island, licensed in RI and MA, with an NPI issued in May 2020. Enrolled in Medicare as practitioner - psychologist billing independently.
Overview
| NPI | 1962024869 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | Yes |
| NPI issued | May 13, 2020 |
| Last updated in NPPES | Aug 13, 2026 |
| Certified by provider | Aug 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PS01791 | RI |
| Psychologist | 103T00000X | — | — |
| Psychologist | 103T00000X | 11069-PY-PR | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Psychologist Billing Independently (RI) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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All 132 psychologists in Providence · All psychologists in Rhode Island