GISELA GABRIELA JIMENEZ COLON MS
NPI 1396228961
Psychologist - Clinical in Riverside, RI
NPI Status: Active since September 10, 2018
Contact Information
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI
ZIP 02915
Phone: (401) 432-1119
- Individual
- Female
- Psychologist
- Clinical
- Accepts Insurance
- PECOS Enrolled
About GISELA JIMENEZ COLON
This page provides the complete NPI Profile along with additional information for Gisela Jimenez Colon, a provider established in Riverside, Rhode Island with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1396228961 assigned on September 2018. The practitioner's primary taxonomy code is 103TC0700X with license number PS02047 (RI). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1396228961
- Provider Name
- GISELA GABRIELA JIMENEZ COLON MS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1011 VETERANS MEMORIAL PKWY RIVERSIDE, RI 02915
- Location Phone
- (401) 432-1119
- Mailing Address
- 1011 VETERANS MEMORIAL PKWY RIVERSIDE, RI 02915
- Mailing Phone
- (401) 432-1119
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-10-2018
- Last Update Date
- 02-24-2022
- Code Navigator
A clinical psychologist like Gisela Jimenez Colon assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PS02047
- License State
- RI
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program | (CA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- NH Local Choice HMO Bronze 8000 - HMO
- NH Local Choice HMO Gold - HMO
- NH Local Choice HMO Gold 1400 - HMO
- NH Local Choice HMO HSA Bronze 6000 - HMO
- NH Local Choice HMO Silver 3500 - HMO
- NH Local Choice HMO Silver 5000 - HMO
- NH Local HMO Bronze 7500 Standard - HMO
- NH Local HMO Gold 1500 Standard - HMO
- NH Local HMO Silver 5000 Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Gisela Jimenez Colon is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02915 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $177.03
- Minimum New Patient Price $58.57
- Maximum New Patient Price $177.03
- Average New Patient Copayment $44.25
- Minimum New Patient Copayment $14.64
- Maximum New Patient Copayment $44.25
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $103.1
- Minimum Established Patient Price $18.92
- Maximum Established Patient Price $144.38
- Average Established Patient Copayment $25.77
- Minimum Established Patient Copayment $4.73
- Maximum Established Patient Copayment $36.09
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 9 | 6 | 2 | 2 | 8 | 9 | 6 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 4 | 2 | 16 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 4 + 2 + 1 + 6 + 9 + 1 + 2 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1396228961 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1104803535 | NOHA SADEK MD Individual | Psychiatry & Neurology (Psychiatry) | 1011 VETERANS MEMORIAL PKWY RIVERSIDE, RI 02915 (401) 432-1000 |
| 1891740189 | GEANINA OANA COSTEA M.D. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 1011 VETERANS MEMORIAL PKWY EAST PROVIDENCE, RI 02915 (401) 432-1161 |
| 1952357998 | JEFFREY I HUNT M.D. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 1011 VETERANS MEMORIAL PKWY EAST PROVIDENCE, RI 02915 (401) 432-1112 |
| 1770539728 | MARGARET G KLITZKE D.O. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 1011 VETERANS MEMORIAL PKWY EAST PROVIDENCE, RI 02915 (401) 432-1168 |
| 1508813791 | CHRISTINA J BELLANTI PHD Individual | Psychologist (Clinical) | 1011 VETERANS MEMORIAL PKWY EAST PROVIDENCE, RI 02915 (401) 682-9031 |
| 1790722627 | JOHN R BOEKAMP PHD Individual | Psychologist (Clinical) | 1011 VETERANS MEMORIAL PKWY EAST PROVIDENCE, RI 02915 (401) 432-1417 |
| 1447297387 | MICHAEL CHRISTOPHER BORDEN PHD Individual | Psychologist (Clinical) | 1011 VETERANS MEMORIAL PKWY EAST PROVIDENCE, RI 02915 (401) 432-1175 |
| 1699712489 | CLIFFORD BROMBERG PHD Individual | Psychologist (Clinical) | 1011 VETERANS MEMORIAL PKWY EAST PROVIDENCE, RI 02915 (401) 432-1347 |
| 1568409431 | KARYN K BLANE PSYD Individual | Psychologist (Clinical) | 1011 VETERANS MEMORIAL PKWY EAST PROVIDENCE, RI 02915 (402) 432-1225 |
| 1619914454 | FRANCINE A D'ELIA PHD Individual | Psychologist (Clinical) | 1011 VETERANS MEMORIAL PKWY EAST PROVIDENCE, RI 02915 (401) 432-1502 |
| 1720026909 | MARGARET R PACCIONE-DYSZLEWSKI PHD Individual | Psychologist (Clinical) | 1011 VETERANS MEMORIAL PKWY EAST PROVIDENCE, RI 02915 (401) 432-1321 |
| 1952349821 | HENRY T. SACHS III M.D. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 1011 VETERANS MEMORIAL PKWY EAST PROVIDENCE, RI 02915 (401) 432-1136 |
| 1588602395 | ELIZABETH E. WHEELER M.D. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 1011 VETERANS MEMORIAL PKWY EAST PROVIDENCE, RI 02915 (401) 432-1319 |
| 1720026412 | KAREN T CAMMUSO PHD Individual | Psychologist (Clinical) | 1011 VETERANS MEMORIAL PKWY EAST PROVIDENCE, RI 02915 (401) 682-9032 |
| 1992743371 | PETER J GILLEN PSYD Individual | Psychologist (Clinical) | 1011 VETERANS MEMORIAL PKWY EAST PROVIDENCE, RI 02915 (402) 432-1533 |
| 1659319036 | GRETA FRANCIS PHD Individual | Psychologist (Clinical) | 1011 VETERANS MEMORIAL PKWY EAST PROVIDENCE, RI 02915 (401) 432-1177 |
| 1891733416 | ROWLAND P BARRETT PHD Individual | Psychologist (Clinical) | 1011 VETERANS MEMORIAL PKWY EAST PROVIDENCE, RI 02915 (401) 432-1290 |
| 1932148954 | ANNE S WALTERS PHD Individual | Psychologist (Clinical) | 1011 VETERANS MEMORIAL PKWY EAST PROVIDENCE, RI 02915 (401) 682-9030 |
| 1518906924 | LORI MCKINSEY PSYD Individual | Psychologist (Clinical) | 1011 VETERANS MEMORIAL PKWY EAST PROVIDENCE, RI 02915 (401) 432-1528 |
| 1629018015 | BARBARA TYLENDA PHD Individual | Psychologist (Clinical) | 1011 VETERANS MEMORIAL PKWY EAST PROVIDENCE, RI 02915 (401) 432-1256 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396228961, enumerated in the NPI registry as an "individual" on September 10, 2018
The provider is located at 1011 Veterans Memorial Pkwy Riverside, Ri 02915 and the phone number is (401) 432-1119
The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical
The provider might be accepting Accepts: Harvard Pilgrim Health Care. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
Medicare beneficiaries should expect a typical cost of $177.03 with an average copayment of $44.25 for new patient appointments. Established patients should expect a typical charge of $103.1 and an average copayment of 25.77. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on September 10, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.