Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962024869 Individual Practitioner Female Practitioner

Dr. Chonlada Jarukitisakul , PhD

Psychologist • Providence, RI

Professional Overview & Biography Verified Profile Summary

Dr. Chonlada Jarukitisakul, PhD is a registered healthcare professional specializing in Psychologist in Providence, RI. Practice services are available at 450 BROOK STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

450 Brook Street

Providence, RI 02906

Telephone 4018633476
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.7 Yrs
State Avg: 33.6 Yrs
Regional Practice Density
124 Specialists

Practicing in Providence, RI (255 Statewide)

Telehealth Adoption Rate
4.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-28
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License RI PS01791

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Psychologist

NUCC Taxonomy Code: 103T00000X

State License MA 11069-PY-PR

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Psychologist

NUCC Taxonomy Code: 103T00000X

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Tanya Thomas , MD

Psychiatry & Neurology - Psychiatry

NPI 1104021070

Doctor of Medicine (M.D.)

Ancha Da Luz Santana , LMHC

Counselor - Mental Health

NPI 1144304676

Licensed Mental Health Counselor

Dr. Diane Farber , PsyD

Psychologist - Health Service

NPI 1881184042

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 28, 2025

Registered at 450 BROOK STREET, PROVIDENCE, RI 02906 (Tel: 4018633476)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2025

Psychologist (License #11069-PY-PR in MA)

NPI Profile Active May 13, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 13, 2020

Registered at 69 BROWN STREET PAGE-ROBINSON HALL 512, PROVIDENCE, RI 029120001 (Tel: 4018633476)

📍
Updated Business Mailing Address May 13, 2020

Registered at 69 BROWN STREET BOX 1960, PROVIDENCE, RI 029120001

👤
Provider Name / Credentials Updated May 13, 2020

Recorded as CHONLADA JARUKITISAKUL, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2020

Psychologist (License #PS01791 in RI)

🟢
Initial NPI Registration & Enumeration May 13, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1962024869
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 13, 2020
Last Update: August 28, 2025
Sole Proprietor: Yes

Mailing Address

69 Brown Street Box 1960

Providence, RI 029120001

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.