Stephanie Shoppell, MA | |
105 Bacon Street, Pawtucket, RI 02860 | |
(401) 722-3560 | |
(401) 722-5280 |
Full Name | Stephanie Shoppell |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 105 Bacon Street, Pawtucket, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063862027 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MHC01027 (Rhode Island) | Primary |
Entity Name | Gateway Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821078932 PECOS PAC ID: 7719874908 Enrollment ID: O20040302001066 |
Entity Name | Lifespan Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548506793 PECOS PAC ID: 2567455082 Enrollment ID: O20130528000089 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Shoppell, MA 117 Ellenfield Street Suite 101, Providence, RI 02905-4513 Ph: (401) 444-6779 | Stephanie Shoppell, MA 105 Bacon Street, Pawtucket, RI 02860 Ph: (401) 722-3560 |
John Walker, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 Beechwood Ave, Pawtucket, RI 02860 Phone: 401-722-5573 | |
Trisha Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Bacon St, Pawtucket, RI 02860 Phone: 401-724-8400 Fax: 401-722-5280 | |
Susan Estrela, Counselor Medicare: Not Enrolled in Medicare Practice Location: 290 Kenyon Ave, Pawtucket, RI 02861 Phone: 401-632-6434 | |
Mr. James Gerard Gregory, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Lafayette St, Pawtucket, RI 02860 Phone: 401-771-7016 | |
Ms. Jennifer M Pelkey, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 249 Roosevelt Ave, Pawtucket, RI 02860 Phone: 401-724-8400 | |
Kelsey Francis, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 190 Cottage St Apt 1, Pawtucket, RI 02860 Phone: 603-819-9004 | |
John Echeverry, BACHELORS Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 Beechwood Ave, Pawtucket, RI 02860 Phone: 401-722-5573 Fax: 401-724-9735 |