Gateway Healthcare Inc | |
101-103 Bacon St Pawtucket RI 02860-5542 | |
(401) 722-3560 | |
(401) 722-3593 |
Full Name | Gateway Healthcare Inc |
---|---|
Speciality | Clinic/Center |
Location | 101-103 Bacon St, Pawtucket, Rhode Island |
Authorized Official Name and Position | Peter K Markell (EVP & CFO) |
Authorized Official Contact | 4014447914 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gateway Healthcare Inc 1 Virginia Ave Ste 200 Providence RI 02905-4444 Ph: (401) 724-8400 | Gateway Healthcare Inc 101-103 Bacon St Pawtucket RI 02860-5542 Ph: (401) 722-3560 |
NPI Number | 1821078932 |
---|---|
Provider Enumeration Date | 01/17/2006 |
Last Update Date | 08/21/2024 |
Certification Date | 08/21/2024 |
Medicare PECOS PAC ID | 7719874908 |
---|---|
Medicare Enrollment ID | O20040302001066 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821078932 | NPI | - | NPPES |
Provider Name | David C Savitzky |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1003886631 PECOS PAC ID: 2668369828 Enrollment ID: I20040302000877 |
Provider Name | Alexis T Schonrog |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1255486841 PECOS PAC ID: 8426020751 Enrollment ID: I20040809000305 |
Provider Name | James Whalen |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1134245954 PECOS PAC ID: 6507833936 Enrollment ID: I20040914001097 |
Provider Name | Joseph F Clifford |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1174558951 PECOS PAC ID: 6305803297 Enrollment ID: I20041213000415 |
Provider Name | Joan M Spencer |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1760450753 PECOS PAC ID: 5496726994 Enrollment ID: I20050218000036 |
Provider Name | Robert B Marshall |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1912965526 PECOS PAC ID: 1951335389 Enrollment ID: I20050923000990 |
Provider Name | Kerstin K Uy |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1922088020 PECOS PAC ID: 2567497605 Enrollment ID: I20050928000388 |
Provider Name | Leah A Berg |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992772438 PECOS PAC ID: 6507886116 Enrollment ID: I20051128000855 |
Provider Name | Maureen Harkavy |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1417911207 PECOS PAC ID: 9830104116 Enrollment ID: I20060207000900 |
Provider Name | Brandon Krupp |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1639123847 PECOS PAC ID: 6204842941 Enrollment ID: I20060303000593 |
Provider Name | Heather P Abrahams |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1154346500 PECOS PAC ID: 4981772688 Enrollment ID: I20081008000371 |
Provider Name | Richard P Whalen |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1891863437 PECOS PAC ID: 7315078243 Enrollment ID: I20100622000055 |
Provider Name | Sajid M Choudhry |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1992749436 PECOS PAC ID: 0244223105 Enrollment ID: I20110131000885 |
Provider Name | Ryan C Loiselle |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114272465 PECOS PAC ID: 3274786785 Enrollment ID: I20130114000074 |
Provider Name | Karen E Macdonald |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1700948080 PECOS PAC ID: 6103060157 Enrollment ID: I20130913000360 |
Provider Name | Selby M Conrad |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1831275056 PECOS PAC ID: 9739313727 Enrollment ID: I20131007000024 |
Provider Name | Nicholas J Gelormini |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1992970248 PECOS PAC ID: 8921223207 Enrollment ID: I20140630000243 |
Provider Name | Kristina H Lavoie |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1487986881 PECOS PAC ID: 4789803636 Enrollment ID: I20140909000410 |
Provider Name | Shannon L Terkell |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1386958346 PECOS PAC ID: 1052530334 Enrollment ID: I20151009001248 |
Provider Name | Jennifer Jencks |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063764652 PECOS PAC ID: 6002125424 Enrollment ID: I20151026000123 |
Provider Name | Gina Mullen |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1881856961 PECOS PAC ID: 8224358411 Enrollment ID: I20151104000183 |
Provider Name | Periane Thomas |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1306069786 PECOS PAC ID: 2567764111 Enrollment ID: I20160113002131 |
Provider Name | Kyle S Kaufer |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1366729121 PECOS PAC ID: 7618274291 Enrollment ID: I20160325000138 |
Provider Name | Margaret Frempong |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508176090 PECOS PAC ID: 8820371107 Enrollment ID: I20170210001881 |
Provider Name | Elena G Nehring |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1134217540 PECOS PAC ID: 9335423458 Enrollment ID: I20170308001730 |
Provider Name | Amy N Grooms |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1316386915 PECOS PAC ID: 1951604701 Enrollment ID: I20170418000035 |
Provider Name | Stephen L Chabot |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1609847078 PECOS PAC ID: 7315984424 Enrollment ID: I20170504000028 |
Provider Name | Seth A Clark |
---|---|
Provider Type | Practitioner - Addiction Medicine |
Provider Identifiers | NPI Number: 1801208798 PECOS PAC ID: 3870710213 Enrollment ID: I20170626001451 |
Provider Name | Wei Song |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1487911582 PECOS PAC ID: 8820221385 Enrollment ID: I20170912000015 |
Provider Name | Yovanska M Duarte Velez |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1356714919 PECOS PAC ID: 5294001780 Enrollment ID: I20171028000000 |
Provider Name | Amy Beth G Mccarthy |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1740733864 PECOS PAC ID: 1254688963 Enrollment ID: I20180725002793 |
Provider Name | Jillian L Mcleish |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1275059487 PECOS PAC ID: 7719236298 Enrollment ID: I20180816000281 |
Provider Name | Barbara C Mottinger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962597336 PECOS PAC ID: 6608777115 Enrollment ID: I20181003000842 |
Provider Name | Nicholas James Ferro |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1528596012 PECOS PAC ID: 4688927635 Enrollment ID: I20181022002315 |
Provider Name | Deidre Donaldson |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1164550216 PECOS PAC ID: 3577734136 Enrollment ID: I20181102001605 |
Provider Name | Alycia Bedrosian Zagaglia |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063815884 PECOS PAC ID: 3173877826 Enrollment ID: I20181115000220 |
Provider Name | Stephanie Volpe |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1538651088 PECOS PAC ID: 9739425513 Enrollment ID: I20190116000247 |
Provider Name | Regina Shannon |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1710376827 PECOS PAC ID: 1951648385 Enrollment ID: I20190123003118 |
Provider Name | Carol Jean Leveillee |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1619452133 PECOS PAC ID: 7719224914 Enrollment ID: I20190125001982 |
Provider Name | Kelly Anne Collins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801361019 PECOS PAC ID: 8527305317 Enrollment ID: I20190201001348 |
Provider Name | Kayla Smith |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1194122044 PECOS PAC ID: 4183963028 Enrollment ID: I20190311002604 |
Provider Name | Donald Marc Laliberte |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1174974547 PECOS PAC ID: 5698016350 Enrollment ID: I20190405000319 |
Provider Name | Brian Mullervy |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467875633 PECOS PAC ID: 7911248604 Enrollment ID: I20190405001551 |
Provider Name | Caroline A Wunsch |
---|---|
Provider Type | Practitioner - Addiction Medicine |
Provider Identifiers | NPI Number: 1629427265 PECOS PAC ID: 6204120314 Enrollment ID: I20190719001855 |
Provider Name | Jessica Harrison |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1477914919 PECOS PAC ID: 7517296999 Enrollment ID: I20190910002822 |
Provider Name | Valda M Aponik |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1669800637 PECOS PAC ID: 9739411067 Enrollment ID: I20191105002937 |
Provider Name | Anthony John Palombo |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235575259 PECOS PAC ID: 0244662542 Enrollment ID: I20191106003151 |
Provider Name | Estrellita Y Moronta |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1245894328 PECOS PAC ID: 5193157360 Enrollment ID: I20191111000939 |
Provider Name | Timothy M. Wade |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1689224750 PECOS PAC ID: 9133552037 Enrollment ID: I20191206002064 |
Provider Name | Natalie Clark |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1851647465 PECOS PAC ID: 0648605360 Enrollment ID: I20200127000489 |
Provider Name | Georgina Dauda |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1740820919 PECOS PAC ID: 9133556285 Enrollment ID: I20200302000884 |
Provider Name | Mayamah Fallah |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821500737 PECOS PAC ID: 6305273327 Enrollment ID: I20200303001610 |
Provider Name | Michelle Yvonne Gonzalez |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1275196479 PECOS PAC ID: 9739504937 Enrollment ID: I20200805001564 |
Provider Name | Tara Carpenter |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1851901102 PECOS PAC ID: 2365852407 Enrollment ID: I20201102000678 |
Provider Name | Susane A. Dickson |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1194804054 PECOS PAC ID: 4385796002 Enrollment ID: I20201103001705 |
Provider Name | Rachel Weitz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982210977 PECOS PAC ID: 3971913369 Enrollment ID: I20201114000067 |
Provider Name | Todd M Cassidy |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073891834 PECOS PAC ID: 8820365265 Enrollment ID: I20201130001596 |
Provider Name | Danielle Courtney Hill |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1639796980 PECOS PAC ID: 9537571906 Enrollment ID: I20201209002883 |
Provider Name | Diane Reese |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1609899855 PECOS PAC ID: 4385790435 Enrollment ID: I20210413000878 |
Provider Name | Rose Marie Zmyslinski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750460770 PECOS PAC ID: 4385818533 Enrollment ID: I20210602001579 |
Provider Name | Michelle Lopes Alves |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1598188732 PECOS PAC ID: 4284034687 Enrollment ID: I20210607000935 |
Provider Name | Katherine F Visser |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1285214783 PECOS PAC ID: 5597160549 Enrollment ID: I20210830001000 |
Provider Name | Hillary Trumbower |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326651571 PECOS PAC ID: 1254721640 Enrollment ID: I20211129000385 |
Provider Name | Olivia Murano |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1912661489 PECOS PAC ID: 8022409606 Enrollment ID: I20211216000659 |
Provider Name | Brian Hammock |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1497977920 PECOS PAC ID: 6305005687 Enrollment ID: I20220516001041 |
Provider Name | Gisela Gabriela Jimenez Colon |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1396228961 PECOS PAC ID: 8123405867 Enrollment ID: I20220518000779 |
Provider Name | Farhad Amani |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1689056632 PECOS PAC ID: 0648584086 Enrollment ID: I20220523000278 |
Provider Name | Jona Volcy |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023628385 PECOS PAC ID: 9537545561 Enrollment ID: I20220928003521 |
Provider Name | Jesse Lee Dooley |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1679241764 PECOS PAC ID: 6305212945 Enrollment ID: I20221021002077 |
Provider Name | Samantha Kane |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801565643 PECOS PAC ID: 4082080635 Enrollment ID: I20221021002288 |
Provider Name | James E Dillon |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1770832008 PECOS PAC ID: 5890949077 Enrollment ID: I20221222000322 |
Provider Name | Dawn Iacobbo |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1881357077 PECOS PAC ID: 1254703853 Enrollment ID: I20230208000805 |
Provider Name | Abby Antwi |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205238359 PECOS PAC ID: 2466815790 Enrollment ID: I20230901002976 |
Provider Name | Adenike Oluwaseun Jallah |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962904425 PECOS PAC ID: 6901260744 Enrollment ID: I20230913001548 |
Provider Name | Marlena-ray Breault |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1144619172 PECOS PAC ID: 0042664146 Enrollment ID: I20230922002644 |
Provider Name | Diego Tomas Arene-morley |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1942084744 PECOS PAC ID: 3678929445 Enrollment ID: I20231031000555 |
Provider Name | Liani Perez |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962805960 PECOS PAC ID: 5294183232 Enrollment ID: I20231130003169 |
Provider Name | Cherilyn Freitas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831744713 PECOS PAC ID: 5597195685 Enrollment ID: I20231130003460 |
Provider Name | Stephanie Barros Centeio |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1548781347 PECOS PAC ID: 4183072051 Enrollment ID: I20231204000622 |
Provider Name | David Gregory Hogan |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1134801897 PECOS PAC ID: 6406204387 Enrollment ID: I20231204000758 |
Provider Name | Jessica Krizman |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1396489035 PECOS PAC ID: 5991156473 Enrollment ID: I20240109002795 |
Provider Name | Meghan M Maynard |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1699371302 PECOS PAC ID: 9830540327 Enrollment ID: I20240109003071 |
Provider Name | Stephen Dionisi |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1205153962 PECOS PAC ID: 0547611972 Enrollment ID: I20240110000348 |
Provider Name | Emily Derby |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1659766376 PECOS PAC ID: 4688025059 Enrollment ID: I20240110001861 |
Provider Name | Kevin I Hathaway |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1508129388 PECOS PAC ID: 8426409707 Enrollment ID: I20240111000882 |
Provider Name | Shannon M. Pine |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1427671478 PECOS PAC ID: 7113378308 Enrollment ID: I20240112000186 |
Provider Name | Stephanie Shoppell |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1063862027 PECOS PAC ID: 0143671347 Enrollment ID: I20240112000452 |
Provider Name | Wendy Vedrine |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1073038949 PECOS PAC ID: 4486005683 Enrollment ID: I20240112000555 |
Provider Name | Julie Marie Andrews |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1285908053 PECOS PAC ID: 6103277256 Enrollment ID: I20240112002410 |
Provider Name | Tonya Dempsey |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1447481528 PECOS PAC ID: 4284086349 Enrollment ID: I20240115000964 |
Provider Name | Timothy Owens |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1952924813 PECOS PAC ID: 8224480397 Enrollment ID: I20240115001130 |
Provider Name | Neha Chetan Haria |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1396309043 PECOS PAC ID: 3274986450 Enrollment ID: I20240124003977 |
Provider Name | Aleah Bagwell-moreino |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1750520862 PECOS PAC ID: 2860845583 Enrollment ID: I20240130001325 |
Provider Name | Danielle E. Stewart |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1083840904 PECOS PAC ID: 2264885870 Enrollment ID: I20240131001213 |
Provider Name | Briana Donley |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1992213466 PECOS PAC ID: 3678926193 Enrollment ID: I20240131001774 |
Provider Name | Karin Anne Greaves |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1386168227 PECOS PAC ID: 4587017074 Enrollment ID: I20240131004196 |
Provider Name | Barbara Fioravanti |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1497976757 PECOS PAC ID: 9830542273 Enrollment ID: I20240201000920 |
Provider Name | Patricia Brouwer |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1841573698 PECOS PAC ID: 6901249721 Enrollment ID: I20240208003411 |
Provider Name | Sondra Petrone |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1619329737 PECOS PAC ID: 5496198012 Enrollment ID: I20240209002805 |
Provider Name | Joseph John Tetreault |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1275120594 PECOS PAC ID: 4284077835 Enrollment ID: I20240209003710 |
Provider Name | Krisha Corbo |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1790163970 PECOS PAC ID: 1951745355 Enrollment ID: I20240213004047 |
Provider Name | Elizabeth M James |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1477755643 PECOS PAC ID: 4981040912 Enrollment ID: I20240312002840 |
Provider Name | Caitlin Taub Gaines |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841056371 PECOS PAC ID: 2062850829 Enrollment ID: I20240329002221 |
Provider Name | Carolyn Blessing |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1972780344 PECOS PAC ID: 3971942749 Enrollment ID: I20240413000118 |
Provider Name | Tayla Rae Bartone |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1518721992 PECOS PAC ID: 0446792188 Enrollment ID: I20240610000353 |
Cynthia M Barte Licsw, Lcdp, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Lafayette St, Suite 206, Pawtucket, RI 02860 Phone: 401-965-6699 Fax: 401-568-9050 | |
Wendy V., Lmhc, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 Prospect St Ste 206, Pawtucket, RI 02860 Phone: 401-400-2135 Fax: 401-272-4361 | |
Archer Mental Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 Bristol Ave, Pawtucket, RI 02861 Phone: 401-572-8052 | |
Addiction Recovery Institute Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 31 N Union St, Pawtucket, RI 02860 Phone: 401-725-2520 Fax: 401-723-9595 | |
Blackstone Valley Community Health Care, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 39 East Ave, Pawtucket, RI 02860 Phone: 401-312-9892 | |
Gateway Healthcare, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 - 105 Bacon Street, Pawtucket, RI 02860 Phone: 401-722-3560 Fax: 401-722-3593 | |
Peerpoint Recovery Residences Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Coyle Ave, Pawtucket, RI 02860 Phone: 401-516-8958 |