Individual provider · Type 1 NPI

Jacqueline Jackson Kikuchi, PhD

Clinical Psychologist · Providence, RI

NPI number 1851403455 Active

Practice location

830 Chalkstone Ave
Providence, RI 02908-4734

Mailing address

43 Royal Dr
West Warwick, RI 02893-5424

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPS01335 (RI)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1851403455

Jacqueline Jackson Kikuchi, PhD's National Provider Identifier is 1851403455, issued on Aug 31, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Providence, RI. The record was last updated on Feb 5, 2026.