Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962528406 Individual Practitioner Male Practitioner

Dr. Jonathan Gershon , PhD

Psychologist - Clinical • Warwick, RI

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Gershon, PhD is a registered healthcare professional specializing in Psychologist - Clinical in Warwick, RI. Practice services are available at 400 BALD HILL RD STE 530 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

400 Bald Hill Rd Ste 530

Warwick, RI 028866111

Telephone 4013493131
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Warwick, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.6 Yrs
State Avg: 18.9 Yrs
Regional Practice Density
43 Specialists

Practicing in Warwick, RI (520 Statewide)

Telehealth Adoption Rate
7.0% 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: 2026-05-04
Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License RI PS00833

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 disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
JG54521 (RI)
Commercial Insurance / Payer ID Ri Blue Cross Provider #
0000027348 (RI)
Commercial Insurance / Payer ID Ri Blue Chip Provider #
411605 (RI)

Secondary Practice Locations

1 Richmond Sq Ste 300e

Providence, RI 029065160

Phone: 4013493131

7 Austin Ave

Greenville, RI 028281520

Phone: 4013493131

889 Centerville Rd

Warwick, RI 028864342

Phone: 4018214100

Practice Associates & Co-Workers

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

40 Associated Practitioners
Lindsay Hillenberg

Social Worker - Clinical

NPI 1003778622
Maia Roper , MSW, LICSW

Social Worker - Clinical

NPI 1013361492

Master of Social Work, Licensed Independent Clinical Social Worker

Dr. Tonya Latzman , PsyD

Psychologist - Clinical

NPI 1023688512

Doctor of Psychology (Psy.D.)

Robin Corrigan , LICSW

Social Worker - Clinical

NPI 1053434332

Licensed Independent Clinical Social Worker

Dr. Amber Champagne , PsyD

Psychologist - Clinical

NPI 1073245940

Doctor of Psychology (Psy.D.)

Octavia Hinton , LCSW

Social Worker - Clinical

NPI 1235550963

Licensed Clinical Social Worker

Career & Practice History Timeline

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

12 Historical Events
👤
Provider Name / Credentials Updated May 04, 2026

Recorded as JONATHAN GERSHON, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2026

Psychologist (License #PS00833 in RI)

👤
Provider Name / Credentials Updated August 27, 2025

Recorded as JONATHAN GERSHON, PSYD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2025

Psychologist (License #PS00833 in RI)

📍
Updated Practice Location August 14, 2024

Registered at 400 BALD HILL RD STE 530, WARWICK, RI 028866111 (Tel: 4013493131)

📍
Updated Business Mailing Address August 14, 2024

Registered at 4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 852517630

NPI Profile Active February 02, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location February 02, 2011

Registered at 889 CENTERVILLE RD, WARWICK, RI 028864342 (Tel: 4018214100)

📍
Updated Business Mailing Address February 02, 2011

Registered at 95 DERBYSHIRE DR, CRANSTON, RI 029212404 (Tel: 4012709629)

👤
Provider Name / Credentials Updated February 02, 2011

Recorded as JONATHAN GERSHON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2011

Psychologist (License #PS00833 in RI)

🟢
Initial NPI Registration & Enumeration March 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1962528406
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2007
Last Update: May 04, 2026
Sole Proprietor: No

Mailing Address

4800 N Scottsdale Rd Ste 2500

Scottsdale, AZ 852517630

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.