Kimberly Pristawa, NCSP is a
Psychologist - School based in Harrisville, Rhode Island. Kimberly Pristawa is licensed to practice in Rhode Island (license number 23852) and her current practice location is
425 East Ave, Harrisville, Rhode Island. She can be reached at her office (for appointments etc.) via phone at
(401) 568-1310.
NPI number for Kimberly Pristawa is 1790564581 and her current mailing address is 30 Carol Dr, Harrisville, Rhode Island. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790564581.
Healthcare Provider's Profile
| Full Name | Kimberly Pristawa |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - School |
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| Location | 425 East Ave, Harrisville, Rhode Island |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790564581
- Provider Enumeration Date: 09/21/2023
- Last Update Date: 09/21/2023
Medical Identifiers
Medical identifiers for Kimberly Pristawa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790564581 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TS0200X | Psychologist - School | 23852 (Rhode Island) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Pristawa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kimberly Pristawa, NCSP
30 Carol Dr,
Harrisville, RI 02830-1836
Ph: (401) 226-5068 | Kimberly Pristawa, NCSP
425 East Ave,
Harrisville, RI 02830-1506
Ph: (401) 568-1310 |
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