| Ricbt Rhode Island | |
|
400 Massasoit Ave Ste 305 East Providence RI 02914-2012 | |
| (401) 294-0451 | |
| Not Available |
| Full Name | Ricbt Rhode Island |
|---|---|
| Speciality | Psychologist |
| Location | 400 Massasoit Ave Ste 305, East Providence, Rhode Island |
| Authorized Official Name and Position | Jamie Dupuy (PRESIDENT / SECRETARY / TREASURER) |
| Authorized Official Contact | 9522464564 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ricbt Rhode Island 67 Burnside Ave East Hartford CT 06108-3408 Ph: (952) 246-4564 | Ricbt Rhode Island 400 Massasoit Ave Ste 305 East Providence RI 02914-2012 Ph: (401) 294-0451 |
| NPI Number | 1659152726 |
|---|---|
| Provider Enumeration Date | 10/13/2023 |
| Last Update Date | 12/07/2023 |
| Certification Date | 12/07/2023 |
| Medicare PECOS PAC ID | 9436502879 |
|---|---|
| Medicare Enrollment ID | O20240311000275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659152726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Ronald W Thebarge |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922086081 PECOS PAC ID: 9638156862 Enrollment ID: I20040706000560 |
| Provider Name | Kristen Stone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861647497 PECOS PAC ID: 3678617479 Enrollment ID: I20100217000485 |
| Provider Name | Kalina M Brabeck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417109232 PECOS PAC ID: 0446385942 Enrollment ID: I20100323000717 |
| Provider Name | Charles Boisvert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598890311 PECOS PAC ID: 4981735016 Enrollment ID: I20100706000283 |
| Provider Name | Selene M Mackinnon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396889226 PECOS PAC ID: 0345371480 Enrollment ID: I20100706000423 |
| Provider Name | Mary E Previte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437273547 PECOS PAC ID: 0143351288 Enrollment ID: I20100706000446 |
| Provider Name | Heather Schatten |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548621055 PECOS PAC ID: 7618248980 Enrollment ID: I20170804000073 |
| Provider Name | Adriana Victoria Hyams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801326590 PECOS PAC ID: 2264798347 Enrollment ID: I20171106001213 |
| Provider Name | Stephen Matsko |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790346435 PECOS PAC ID: 8224368428 Enrollment ID: I20191002000757 |
| Provider Name | Meghan K Collier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245524644 PECOS PAC ID: 6002148343 Enrollment ID: I20191106000120 |
| Provider Name | Jennifer Smyka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972164275 PECOS PAC ID: 5698107894 Enrollment ID: I20191108001175 |
| Provider Name | Prachi Kene |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235441338 PECOS PAC ID: 7012109069 Enrollment ID: I20201201000346 |
| Provider Name | Nicole Holland Weiss |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578039855 PECOS PAC ID: 9032520630 Enrollment ID: I20201203002014 |
| Provider Name | Cara Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093296089 PECOS PAC ID: 0749692069 Enrollment ID: I20201210000944 |
| Provider Name | Ryan John Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285303628 PECOS PAC ID: 9830587971 Enrollment ID: I20211022001205 |
| Provider Name | Carlos Tilghman Osborne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417141771 PECOS PAC ID: 4486874138 Enrollment ID: I20211130002934 |
| Provider Name | Susannah L Mozley-hopkins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558394635 PECOS PAC ID: 6103216148 Enrollment ID: I20211206001113 |
| Provider Name | Rebecca Pearlson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154721736 PECOS PAC ID: 8224417423 Enrollment ID: I20220617002042 |
| Provider Name | Elliot Feld |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437644192 PECOS PAC ID: 7911256649 Enrollment ID: I20221006001935 |
| Provider Name | Daniel G Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780304402 PECOS PAC ID: 2264801885 Enrollment ID: I20221202002415 |
| Provider Name | Jill Henley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306327614 PECOS PAC ID: 0446653745 Enrollment ID: I20221215002568 |
| Provider Name | Taylor Selke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033822119 PECOS PAC ID: 1355714130 Enrollment ID: I20230224002082 |
| Provider Name | Amy Cameron |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689021768 PECOS PAC ID: 7719351857 Enrollment ID: I20230313002056 |
| Provider Name | Craig Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023181534 PECOS PAC ID: 0244231223 Enrollment ID: I20230329001107 |
| Provider Name | Jessica J Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942970710 PECOS PAC ID: 6709234792 Enrollment ID: I20231201001038 |
Coastal Medical, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Warren Ave, Ste 401, East Providence, RI 02914 Phone: 401-421-4000 | |
Trident Psychological Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 172 Taunton Ave Ste 208, East Providence, RI 02914 Phone: 401-450-0729 Fax: 401-537-1830 | |
Eastside Neurology, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 450 Veterans Memorial Pkwy, Building 11, East Providence, RI 02914 Phone: 401-431-1860 Fax: 401-435-0328 | |
Prestige Aba Therapy Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 855 Waterman Ave Ste D, East Providence, RI 02914 Phone: 401-219-1351 Fax: 401-210-1850 | |
Michelle Baker Consulting, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Leonard Ave, East Providence, RI 02914 Phone: 401-359-6566 | |
Jeanine Le-kreuzer, Lmhc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3421 Pawtucket Ave, East Providence, RI 02914 Phone: 401-684-0312 | |
Vital Essence Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 Rice Ave, East Providence, RI 02914 Phone: 970-596-3194 |