Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLEY HARRISON PISTACCHIO, PH.D
ActiveDR. KELLEY HARRISON PISTACCHIO, PH.D is a Geriatric Psychologist healthcare provider located in PROVIDENCE, Rhode Island. NPI 1780713735 is currently active in the NPPES registry. Verify at CMS.
Geriatric Psychologist · PROVIDENCE, RI
Registration Details
- NPI Number
- 1780713735
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 5, 2007 (19.300163441173 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
PS00680 (RI)PS00680 (RI)PS00680 (RI)PS00680 (RI)PS00680 (RI)
Practice Information
- Address
-
610 MANTON AVEPROVIDENCE, RI, 029095633Browse RI providers · Browse ZIP 02909
- Phone
- 4012746310
- Fax
- 4014211977
- Primary Specialty
-
Geriatric Psychologist
103TP2701X
- Additional Specialty
- Cognitive & Behavioral Psychologist
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Child, Clinical Psychologist
- Additional Specialty
- Organizational & Business Psychologist
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.