Peace Of Mind Psychology, Llc | |
536 Atwells Ave Ste 1 Providence RI 02909-1075 | |
(401) 490-4814 | |
Not Available |
Full Name | Peace Of Mind Psychology, Llc |
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Speciality | Clinic/Center |
Location | 536 Atwells Ave Ste 1, Providence, Rhode Island |
Authorized Official Name and Position | Megan M St Angelo (OWNER) |
Authorized Official Contact | 4014904814 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Peace Of Mind Psychology, Llc 536 Atwells Ave Ste 1 Providence RI 02909-1075 Ph: (401) 490-4814 | Peace Of Mind Psychology, Llc 536 Atwells Ave Ste 1 Providence RI 02909-1075 Ph: (401) 490-4814 |
NPI Number | 1770206518 |
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Provider Enumeration Date | 09/26/2022 |
Last Update Date | 09/26/2022 |
Certification Date | 09/26/2022 |
Medicare PECOS PAC ID | 3779951660 |
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Medicare Enrollment ID | O20221128000696 |
Identifier | Type | State | Issuer |
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1770206518 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Megan St. Angelo |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1588119267 PECOS PAC ID: 1052743481 Enrollment ID: I20191122001814 |
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