| Plaza Psychology & Psychiatry, Inc. | |
|
68 Cumberland St Suite 102 Woonsocket RI 02895-3323 | |
| (401) 356-1940 | |
| (401) 356-1949 |
| Full Name | Plaza Psychology & Psychiatry, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 68 Cumberland St, Woonsocket, Rhode Island |
| Authorized Official Name and Position | Penelope A. Yanni (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4013561940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Plaza Psychology & Psychiatry, Inc. 68 Cumberland St Suite 102 Woonsocket RI 02895-3323 Ph: (401) 356-1940 | Plaza Psychology & Psychiatry, Inc. 68 Cumberland St Suite 102 Woonsocket RI 02895-3323 Ph: (401) 356-1940 |
| NPI Number | 1306890546 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 12/29/2015 |
| Medicare PECOS PAC ID | 8628973666 |
|---|---|
| Medicare Enrollment ID | O20040209000536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306890546 | NPI | - | NPPES |
| 1028940 | Other | RI | BEACON |
| 1306890546 | Other | RI | UNITED HEALTHCARE |
| 1306890546 | Other | RI | BLUE CROSS BLUE SHIELD |
| PP44291 | Medicaid | RI | |
| 9427305 | Other | RI | AETNA |
| 1028940 | Other | RI | NEIGHBORHOOD HEALTH PLAN |
| 360121 | Other | RI | TUFT'S |
| PP54298 | Other | RI | RITE SHARE |
| Provider Name | Penelope Yanni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912944414 PECOS PAC ID: 0143283523 Enrollment ID: I20041106000052 |
| Provider Name | Wajahat Faheem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053323691 PECOS PAC ID: 6608827357 Enrollment ID: I20050210000058 |
| Provider Name | Carolyn Marie Sammon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124034780 PECOS PAC ID: 4486650082 Enrollment ID: I20061004000342 |
| Provider Name | Jodi L Stephenson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437163136 PECOS PAC ID: 3577560739 Enrollment ID: I20061031000442 |
| Provider Name | Gloria Mazza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497157572 PECOS PAC ID: 7012239676 Enrollment ID: I20141210000181 |
| Provider Name | Diana Greywolf |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013189216 PECOS PAC ID: 1456493899 Enrollment ID: I20151012000643 |
| Provider Name | Nicholas S Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629218193 PECOS PAC ID: 5799089835 Enrollment ID: I20170419000240 |
| Provider Name | Nicole R Molina |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477860237 PECOS PAC ID: 5193098465 Enrollment ID: I20170907003239 |
| Provider Name | Diana Huynh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831553841 PECOS PAC ID: 0244590800 Enrollment ID: I20180131000605 |
| Provider Name | Robert Goldblatt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891786703 PECOS PAC ID: 2668457276 Enrollment ID: I20191018001748 |
| Provider Name | Katharine Licsw Niles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154608297 PECOS PAC ID: 3779916101 Enrollment ID: I20191125003165 |
| Provider Name | Cindy Marie Coite |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942491923 PECOS PAC ID: 5698102960 Enrollment ID: I20200226001098 |
| Provider Name | Chanta Pou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023350485 PECOS PAC ID: 8729386743 Enrollment ID: I20200428001828 |
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