Individual provider · Type 1 NPI

Kelley Harrison Pistacchio, PhD

Group Psychotherapy Psychologist · Providence, RI

NPI number 1780713735 Active

Practice location

610 Manton Ave
Providence, RI 02909-5633

Call (401) 274-6310 Map

Fax (401) 421-1977

Mailing address

122 Jane St
North Providence, RI 02904-4957

Specialties and licenses

Taxonomy	Code	License
Psychologist	103T00000X	PS00680 (RI)
Cognitive & Behavioral Psychologist	103TB0200X	PS00680 (RI)
Clinical Psychologist	103TC0700X	PS00680 (RI)
Clinical Child & Adolescent Psychologist	103TC2200X	PS00680 (RI)
Intellectual & Developmental Disabilities Psychologist	103TM1800X	PS00680 (RI)
Group Psychotherapy Psychologist Primary	103TP2701X	PS00680 (RI)

Group Psychotherapy Psychologist: A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group m…

75 other providers at this address

About NPI 1780713735

Kelley Harrison Pistacchio, PhD's National Provider Identifier is 1780713735, issued on Mar 5, 2007. The primary taxonomy on file is Group Psychotherapy Psychologist (103TP2701X), and the practice location is in Providence, RI. The record was last updated on Sep 11, 2025.