| The Providence Center | |
|
528 North Main Street Providence RI 02904-5759 | |
| (401) 528-0123 | |
| (401) 528-0124 |
| Full Name | The Providence Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 528 North Main Street, Providence, Rhode Island |
| Authorized Official Name and Position | Carla Sosa (PAYER CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 4019217374 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Providence Center 528 North Main Streete Providence RI 02904 Ph: () - | The Providence Center 528 North Main Street Providence RI 02904-5759 Ph: (401) 528-0123 |
| NPI Number | 1104847946 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 05/10/2024 |
| Certification Date | 05/10/2024 |
| Medicare PECOS PAC ID | 9739080292 |
|---|---|
| Medicare Enrollment ID | O20040116000840 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104847946 | NPI | - | NPPES |
| PC07340 | Other | RI | DCYF-MEDICAID |
| PC11826 | Medicaid | RI | |
| 410282 | Other | RI | BLUE CHIP |
| PC02213 | Medicaid | RI | |
| 50-64724 | Other | RI | UNITED BEHAVIORAL HEALTH |
| PC02214 | Medicaid | RI |
| Provider Name | M Raquel Kenyon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609819457 PECOS PAC ID: 9133018815 Enrollment ID: I20040311000813 |
| Provider Name | Ghulam Mustafa Surti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861499675 PECOS PAC ID: 1456331354 Enrollment ID: I20040721001569 |
| Provider Name | Jamil S Chaudhry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952337511 PECOS PAC ID: 4789657909 Enrollment ID: I20040817000041 |
| Provider Name | Teresa W Greer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730120031 PECOS PAC ID: 7517936511 Enrollment ID: I20040927001002 |
| Provider Name | Marygene M Santa Teresa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336158344 PECOS PAC ID: 0345131819 Enrollment ID: I20050225000429 |
| Provider Name | Gail H Roy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497790034 PECOS PAC ID: 0244275378 Enrollment ID: I20050620001132 |
| Provider Name | Warren A Ong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003896101 PECOS PAC ID: 4385678044 Enrollment ID: I20050921001151 |
| Provider Name | Lawrence A Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194763417 PECOS PAC ID: 1951336023 Enrollment ID: I20050928000634 |
| Provider Name | Irene Joan Lang |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1952410391 PECOS PAC ID: 1850323692 Enrollment ID: I20051007000073 |
| 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 | Peter W Marshall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619096898 PECOS PAC ID: 1759311467 Enrollment ID: I20051219000924 |
| Provider Name | Alice R Zory |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366469124 PECOS PAC ID: 8921020603 Enrollment ID: I20051221000951 |
| Provider Name | Milagros E Cruz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336166412 PECOS PAC ID: 1052319845 Enrollment ID: I20061109000378 |
| Provider Name | Elizabeth N Bedard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245330646 PECOS PAC ID: 2961400395 Enrollment ID: I20061120000331 |
| Provider Name | Mary E Allard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396773792 PECOS PAC ID: 7911908579 Enrollment ID: I20070124000573 |
| Provider Name | Fred Zucconi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215012232 PECOS PAC ID: 9638273105 Enrollment ID: I20070323000134 |
| Provider Name | Susanna Philibert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013928696 PECOS PAC ID: 5890899033 Enrollment ID: I20070328000616 |
| Provider Name | Reema Husain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104983428 PECOS PAC ID: 5092813055 Enrollment ID: I20070614000491 |
| Provider Name | Michael Alan Silver |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659379410 PECOS PAC ID: 4789783820 Enrollment ID: I20070630000030 |
| Provider Name | Vanessa M Apostolou |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457539918 PECOS PAC ID: 3476631219 Enrollment ID: I20080421000197 |
| Provider Name | Lawrence H Price |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386658755 PECOS PAC ID: 4880763853 Enrollment ID: I20080516000045 |
| Provider Name | Hung-teh Kao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326282468 PECOS PAC ID: 8022155753 Enrollment ID: I20091028000530 |
| Provider Name | Shana L. Tartaglia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730413618 PECOS PAC ID: 4284773961 Enrollment ID: I20091209000715 |
| Provider Name | Ana Maria Spencer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154511558 PECOS PAC ID: 7315087020 Enrollment ID: I20091210000358 |
| Provider Name | Taneil S Jennings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124299037 PECOS PAC ID: 6709079445 Enrollment ID: I20101026000683 |
| Provider Name | Sajid M Choudhry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992749436 PECOS PAC ID: 0244223105 Enrollment ID: I20110131000885 |
| Provider Name | Walter Orellana |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154648343 PECOS PAC ID: 2769667450 Enrollment ID: I20110422000086 |
| Provider Name | David C Michaud |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841517992 PECOS PAC ID: 8224214432 Enrollment ID: I20110523000567 |
| Provider Name | Grace M Batista |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093732174 PECOS PAC ID: 0749455624 Enrollment ID: I20111205000050 |
| Provider Name | Tiana T Ochoa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588946990 PECOS PAC ID: 8224295423 Enrollment ID: I20120131000063 |
| Provider Name | Luis A Ferreira |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285928499 PECOS PAC ID: 0749448223 Enrollment ID: I20120301000359 |
| Provider Name | Sharath Puttichanda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013178623 PECOS PAC ID: 1153570015 Enrollment ID: I20121009000593 |
| Provider Name | Jeanne M Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710121314 PECOS PAC ID: 5698925220 Enrollment ID: I20121017000356 |
| Provider Name | Ruth J Wartenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528205549 PECOS PAC ID: 6305085127 Enrollment ID: I20130626000653 |
| Provider Name | Julie Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275685893 PECOS PAC ID: 8325288046 Enrollment ID: I20130701000315 |
| Provider Name | Amy R Halt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770713596 PECOS PAC ID: 3072754555 Enrollment ID: I20130725000491 |
| Provider Name | Jean G Whittredge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396187183 PECOS PAC ID: 7618111410 Enrollment ID: I20130918000019 |
| Provider Name | Elizabeth A Sherman |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1730595893 PECOS PAC ID: 5092933937 Enrollment ID: I20140905001673 |
| Provider Name | Christina D Scully |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881989879 PECOS PAC ID: 8123248085 Enrollment ID: I20140929000726 |
| Provider Name | Kristen M Andriole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467852335 PECOS PAC ID: 2769702430 Enrollment ID: I20150520001063 |
| Provider Name | Tara Malekshahi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609189133 PECOS PAC ID: 0446565998 Enrollment ID: I20150813010004 |
| Provider Name | Harold Arthur Woodcome |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922362466 PECOS PAC ID: 1355657966 Enrollment ID: I20150827001313 |
| Provider Name | Patrick Ofori-appiah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508264920 PECOS PAC ID: 2567771710 Enrollment ID: I20151029000319 |
| Provider Name | Brian B Theyel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538480637 PECOS PAC ID: 3971803032 Enrollment ID: I20151123001251 |
| Provider Name | Abigail L Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871951251 PECOS PAC ID: 5890093066 Enrollment ID: I20160421001062 |
| Provider Name | Laura Elaine Hodges |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497018329 PECOS PAC ID: 8224332127 Enrollment ID: I20160526001109 |
| Provider Name | Melanie L Dubois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689612319 PECOS PAC ID: 7911297254 Enrollment ID: I20160527001460 |
| Provider Name | Sarah B Schmidhofer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053759381 PECOS PAC ID: 0941439681 Enrollment ID: I20160909001772 |
| Provider Name | Whitney E Ogbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265985840 PECOS PAC ID: 5597053009 Enrollment ID: I20161017002203 |
| Provider Name | Jessica Lauren Whitfield |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164835773 PECOS PAC ID: 4587968441 Enrollment ID: I20161208000205 |
| Provider Name | Rachel L Juaire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700292695 PECOS PAC ID: 1355627126 Enrollment ID: I20170410000938 |
| Provider Name | Sandrine G Fujah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053859264 PECOS PAC ID: 4981980265 Enrollment ID: I20170421001340 |
| Provider Name | Clara B Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053773440 PECOS PAC ID: 0143589168 Enrollment ID: I20180122000749 |
| Provider Name | Keith G Jarvis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548673395 PECOS PAC ID: 2668731548 Enrollment ID: I20180123000643 |
| Provider Name | Yuli Y Paula |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487038584 PECOS PAC ID: 2769743418 Enrollment ID: I20180221001192 |
| Provider Name | Michelle D Parker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922488469 PECOS PAC ID: 0749583896 Enrollment ID: I20180307000226 |
| Provider Name | Kristyn N Storey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346653904 PECOS PAC ID: 4587966262 Enrollment ID: I20180327001666 |
| Provider Name | David Selasi Kwami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407351257 PECOS PAC ID: 0941565196 Enrollment ID: I20180517002225 |
| Provider Name | Barbara M Ruf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093129330 PECOS PAC ID: 7113222860 Enrollment ID: I20180802000545 |
| Provider Name | Teresa E Daniels |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497102529 PECOS PAC ID: 2365723004 Enrollment ID: I20180829003751 |
| Provider Name | Rachel J Armada |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548754484 PECOS PAC ID: 4880938877 Enrollment ID: I20181203000330 |
| Provider Name | Andrew M Novick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356720965 PECOS PAC ID: 2769785385 Enrollment ID: I20181207001852 |
| Provider Name | Angela P. Pajares |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902127046 PECOS PAC ID: 3678811460 Enrollment ID: I20190221001263 |
| Provider Name | Bryan F Mccarthy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902286180 PECOS PAC ID: 1355647116 Enrollment ID: I20190306003247 |
| Provider Name | Caitlin S Lawrence |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629458047 PECOS PAC ID: 1153626809 Enrollment ID: I20190424002716 |
| Provider Name | Ana I Lopes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952590150 PECOS PAC ID: 0244573707 Enrollment ID: I20190524000469 |
| Provider Name | Jeannette M Sorace-burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780063628 PECOS PAC ID: 2365748621 Enrollment ID: I20190617000358 |
| Provider Name | Haizhi Wang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972959500 PECOS PAC ID: 8426336009 Enrollment ID: I20190820002031 |
| Provider Name | Andy Montan Santos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972161644 PECOS PAC ID: 0547694580 Enrollment ID: I20191227000314 |
| Provider Name | Nanci A Otrando |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336512284 PECOS PAC ID: 7719282953 Enrollment ID: I20200115003068 |
| Provider Name | Jessica Obeysekare |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285080747 PECOS PAC ID: 3577841113 Enrollment ID: I20200116000320 |
| Provider Name | Emily N Mello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770148736 PECOS PAC ID: 0143659177 Enrollment ID: I20200326002098 |
| Provider Name | Laura Vargas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265851851 PECOS PAC ID: 0648609388 Enrollment ID: I20200401002187 |
| Provider Name | Sahony N Ramos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891342226 PECOS PAC ID: 8527498286 Enrollment ID: I20200420002615 |
| Provider Name | Jessica Melo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326665472 PECOS PAC ID: 9234549981 Enrollment ID: I20201109000312 |
| Provider Name | Alyssa R Carroll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184242406 PECOS PAC ID: 3274945258 Enrollment ID: I20201216000344 |
| Provider Name | Alice S Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639705916 PECOS PAC ID: 9537575352 Enrollment ID: I20210302003120 |
| Provider Name | Anthony Joseph Paoletta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861090508 PECOS PAC ID: 1456767482 Enrollment ID: I20210317000044 |
| Provider Name | Ruth N Chevez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134599285 PECOS PAC ID: 8426465949 Enrollment ID: I20210330001677 |
| Provider Name | Shannon O Maj |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952821787 PECOS PAC ID: 8224301387 Enrollment ID: I20210528001043 |
| Provider Name | Elissa May Franklin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114595360 PECOS PAC ID: 6709289515 Enrollment ID: I20210730000188 |
| Provider Name | Bianca S Ogando |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003400102 PECOS PAC ID: 6204232911 Enrollment ID: I20210903001889 |
| Provider Name | Carine M Saint Felix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447876206 PECOS PAC ID: 8527466036 Enrollment ID: I20211014001002 |
| Provider Name | Franni S Amaro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366197667 PECOS PAC ID: 8325425077 Enrollment ID: I20220520000455 |
| Provider Name | Amanda G Sepe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871162370 PECOS PAC ID: 2062892722 Enrollment ID: I20220712001947 |
| Provider Name | Pascale A Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306452594 PECOS PAC ID: 7214319060 Enrollment ID: I20220727000341 |
| Provider Name | Laurie Ann Oliveira |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568947349 PECOS PAC ID: 6608169388 Enrollment ID: I20220804003443 |
| Provider Name | Anthony J Hoyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053970921 PECOS PAC ID: 1759767718 Enrollment ID: I20220929000821 |
| Provider Name | Yanitza L Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972245801 PECOS PAC ID: 6608252333 Enrollment ID: I20221004002744 |
| Provider Name | Michelle Eche |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104491034 PECOS PAC ID: 4183090343 Enrollment ID: I20221013002002 |
| Provider Name | Nissa Sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174258545 PECOS PAC ID: 9133595069 Enrollment ID: I20221018002995 |
| Provider Name | Syreeta L Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982341681 PECOS PAC ID: 0648646414 Enrollment ID: I20221019001116 |
| Provider Name | Vanna P Phrommavanh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023135795 PECOS PAC ID: 7517333958 Enrollment ID: I20221026001358 |
| Provider Name | Analisa C Goncalves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316508302 PECOS PAC ID: 8022485267 Enrollment ID: I20221101002235 |
| Provider Name | Nirva Lafontant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760119226 PECOS PAC ID: 7810219235 Enrollment ID: I20221104000283 |
| Provider Name | Kara L Reardon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750810768 PECOS PAC ID: 0749658607 Enrollment ID: I20221125000367 |
| Provider Name | Enrique E Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427079086 PECOS PAC ID: 7416326525 Enrollment ID: I20221213000599 |
| Provider Name | Kyle Aileru |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396467643 PECOS PAC ID: 8729457460 Enrollment ID: I20221220000127 |
| Provider Name | Claudia L Benitez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740906767 PECOS PAC ID: 1355711771 Enrollment ID: I20221229002265 |
| Provider Name | Victor S Dias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366644395 PECOS PAC ID: 1557733672 Enrollment ID: I20230217001181 |
| Provider Name | Marissa Rocha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073181020 PECOS PAC ID: 8325442635 Enrollment ID: I20230222000107 |
| Provider Name | Vanessa A Correia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942856000 PECOS PAC ID: 2961877923 Enrollment ID: I20230405002457 |
| Provider Name | Riviane Lafleur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386299733 PECOS PAC ID: 4183001167 Enrollment ID: I20230502002544 |
| Provider Name | Alexandra Thieman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225547193 PECOS PAC ID: 2062878085 Enrollment ID: I20230517003232 |
| Provider Name | Jessica Green-burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952661696 PECOS PAC ID: 9830512631 Enrollment ID: I20230608000407 |
| Provider Name | Emily Tolbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801570197 PECOS PAC ID: 1052771300 Enrollment ID: I20230718002014 |
| Provider Name | Carlos Rojas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306523626 PECOS PAC ID: 6800258377 Enrollment ID: I20230815003123 |
| Provider Name | Estefania Clavijo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376150417 PECOS PAC ID: 6901269307 Enrollment ID: I20230901001494 |
| Provider Name | Elianny Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518647148 PECOS PAC ID: 7012371248 Enrollment ID: I20230906003837 |
| Provider Name | Laura Dobler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881470052 PECOS PAC ID: 4284089350 Enrollment ID: I20231010000538 |
| Provider Name | Paul Michael Wallace |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265991335 PECOS PAC ID: 8628489218 Enrollment ID: I20231113000066 |
| Provider Name | Katherine E Stone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447723218 PECOS PAC ID: 7517318454 Enrollment ID: I20240104004292 |
| Provider Name | Brian Speaks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508394677 PECOS PAC ID: 5193176642 Enrollment ID: I20240109001954 |
| Provider Name | Sarah A Satterlee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104691435 PECOS PAC ID: 3577915339 Enrollment ID: I20240117001488 |
| Provider Name | Ann M Achille |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750326898 PECOS PAC ID: 1759733298 Enrollment ID: I20240119002063 |
| Provider Name | Julie A Bousquet-eulie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861852451 PECOS PAC ID: 6305298746 Enrollment ID: I20240122001172 |
| Provider Name | Nicole M Saunders |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861511842 PECOS PAC ID: 6406208800 Enrollment ID: I20240122003094 |
| Provider Name | Anna M Robinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720008782 PECOS PAC ID: 9133571441 Enrollment ID: I20240122003877 |
| Provider Name | Melissa H Polanco |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023559143 PECOS PAC ID: 9436501632 Enrollment ID: I20240123002340 |
| Provider Name | Susana I Arenas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184131674 PECOS PAC ID: 9537512710 Enrollment ID: I20240124003996 |
| Provider Name | Chelsea C Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518680651 PECOS PAC ID: 5395198410 Enrollment ID: I20240125000453 |
| Provider Name | Wilberth Perez Chaves |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245761907 PECOS PAC ID: 2961855374 Enrollment ID: I20240201000057 |
| Provider Name | Michael J Esposito |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841436029 PECOS PAC ID: 5193168086 Enrollment ID: I20240207003363 |
| Provider Name | Catherine M. A'vant Fowler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265446264 PECOS PAC ID: 5698118586 Enrollment ID: I20240207003541 |
| Provider Name | Lauren M. Monte |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699989822 PECOS PAC ID: 8123461027 Enrollment ID: I20240207003621 |
| Provider Name | Kelsey L. Grabert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629515879 PECOS PAC ID: 6204279102 Enrollment ID: I20240207003678 |
| Provider Name | Linda M Dewey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851673925 PECOS PAC ID: 3577906270 Enrollment ID: I20240209001748 |
| Provider Name | Alison Turner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023530920 PECOS PAC ID: 3577906106 Enrollment ID: I20240209003195 |
| Provider Name | Patricia A Taubin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871088096 PECOS PAC ID: 0042653552 Enrollment ID: I20240212001424 |
| Provider Name | Tenita M Valles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467992313 PECOS PAC ID: 4486097920 Enrollment ID: I20240212002448 |
| Provider Name | Stacey A Leclerc |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346709029 PECOS PAC ID: 5698110062 Enrollment ID: I20240226003009 |
| Provider Name | Luis D Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023595055 PECOS PAC ID: 1254776305 Enrollment ID: I20240228001488 |
| Provider Name | Sarah A. Leveillee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215275953 PECOS PAC ID: 8022453133 Enrollment ID: I20240228003663 |
| Provider Name | Janick E Hippolyte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386351930 PECOS PAC ID: 0648616227 Enrollment ID: I20240306002805 |
| Provider Name | Marissa A Gravel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043886294 PECOS PAC ID: 3577909332 Enrollment ID: I20240314003243 |
One Step At A Time Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Kinfield St, Providence, RI 02909 Phone: 401-871-2379 | |
Tides Of Mind Counseling Of Rhode Island Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 245 Waterman St Ste 200, Providence, RI 02906 Phone: 401-369-8192 | |
Because I Matter Wellness Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Wayland Ave, Suite 4b, Providence, RI 02906 Phone: 401-431-2953 | |
Providence Behavioral Health Associates Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1075 Smith St, Providence, RI 02908 Phone: 401-369-9224 Fax: 401-369-9275 | |
Testing Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 Washington St, 303, Providence, RI 02903 Phone: 401-277-5180 | |
The Wellness Center Ri, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Reservoir Ave, Suite 2k, Providence, RI 02907 Phone: 401-461-9355 Fax: 401-784-9609 | |
Whidbeyhealth Telehealth Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 95 Lorimer Ave, Providence, RI 02906 Phone: 360-678-5151 Fax: 360-678-7676 |