Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ERICK JONATHAN FEDORENKO, PHD
Active Sole ProprietorERICK JONATHAN FEDORENKO, PHD is a Clinical Psychologist healthcare provider located in PROVIDENCE, Rhode Island. NPI 1558253369 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · PROVIDENCE, RI
Registration Details
- NPI Number
- 1558253369
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 16, 2025 (1.0529134188384 yrs)
- Last Updated
- Aug 25, 2025
- License
-
PS02387 (RI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
345 BLACKSTONE BLVDPROVIDENCE, RI, 029064800Browse RI providers · Browse ZIP 02906
- Phone
- 4014556200
- Fax
- 4014556689
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in PROVIDENCE, RI
| Name | Credential | NPI |
|---|---|---|
| DR. MARY C MOORE | PH.D. | 1407844723 |
| DR. DONALD KIEFFER | PHD | 1053395665 |
| JENNIFER LYNN ANTHONY | PHD | 1710963004 |
| IWONA CHELMINSKI | PHD | 1457337776 |
| LAURA C MESSIER | PH.D. | 1083690309 |
| ROBERT B BREEN | PHD | 1043296916 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.