NPPES file of Aug 9, 2026

Erick Jonathan Fedorenko, PHD

Clinical Psychologist · Providence, RI

Erick Jonathan Fedorenko, PHD is a clinical psychologist with a practice address in Providence, Rhode Island, and NPI 1558253369, issued on Jul 16, 2025. Check the license (Rhode Island PS02387, as entered in NPPES) with the Rhode Island board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1558253369
Name
Erick Jonathan Fedorenko
Credential
PHD
Primary taxonomy
Clinical Psychologist 103TC0700X
License number
PS02387 RI
Self-reported in NPPES; status is on the state search
Practice location
345 Blackstone Blvd, Providence, RI 02906
Phone
(401) 455-6200
Enumerated
Jul 16, 2025
Record last updated
Aug 25, 2025
Fax
(401) 455-6689
Medicare enrollment
Enrolled (PECOS I20250904000026); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest clinical psychologist records → All 510 in Rhode Island → Look up another NPI →

Also registered at 345 Blackstone Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Ana Abrantes, PH.D.Addiction (Substance Use Disorder) Psychologist1205000544
  2. Munirat Adebimpe, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1457876716
  3. Linda Aguiar, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1457965998
  4. Meesha Ahuja, MDPsychiatry Physician1881905875
  5. Raja Ramis Akhtar, MDPsychiatry Physician1326609488
  6. Modupe Akinfolarin, NP-CGerontology Nurse Practitioner1871899773

Verify Erick Jonathan Fedorenko in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Rhode Island board licenses this profession
    Search for license PS02387    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Rhode Island license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Affinity Physicians LLC.Warwick, RI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Erick Jonathan Fedorenko among 510 clinical psychologist records in Rhode Island

Erick Jonathan Fedorenko, PHD is one of 510 clinical psychologist records with a practice address in Rhode Island. 19% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 96% of them.

  • NPI issued2025 · 96% of these records are older, 1% newer
  • In a Medicare fileYes · 19% of these records are
  • In the CMS Doctors and Clinicians fileYes · 27% of these records are
  • Graduated2023 · median 2013 among the 137 with a school on file
  • Record last updated2025 · 56% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Rhode Island practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

237 clinical psychologist records list a practice address in Providence

They are 237 of the 9,647 NPPES records with a practice address in Providence, and 510 clinical psychologist records in Rhode Island.

All 510 in Rhode Island → Every provider in Providence → Clinical Psychologist nationwide →

The 8 clinical psychologist records with the nearest ZIP codes

  1. Fernando Augusto, PH.D.Providence, RI 029061215963624
  2. Michael Carey, PH.D.Providence, RI 029061467537670
  3. Maria Coltey, PH.D.Providence, RI 029061285726489
  4. Shari Elice, PH.D.Providence, RI 029061528141991
  5. Jessica Fortunato, PSY.D.Providence, RI 029061215004445
  6. Timothy Le Jacq-Smith, PSY.D.Providence, RI 029061295848091
  7. Marjorie Pelcovits, PH.D.Providence, RI 029061194756684
  8. Sandra Rosser, PSY.D.Providence, RI 029061225073745

Common questions

What is Erick Jonathan Fedorenko, PHD's NPI number?

Erick Jonathan Fedorenko, PHD's National Provider Identifier (NPI) is 1558253369, issued on Jul 16, 2025. An NPI identifies a provider in billing; it is not a license.

Where is Erick Jonathan Fedorenko, PHD located?

The NPPES record lists a practice address at 345 Blackstone Blvd, Providence, RI, 02906. Phone: (401) 455-6200. Providers update this record themselves, so call before visiting.

How can I verify Erick Jonathan Fedorenko, PHD's license?

NPPES lists Rhode Island license number PS02387, as entered by the provider. Search the Rhode Island board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.