| Medop Behavioral Health Associates Of Rhode Island Pc | |
|
222 Jefferson Blvd Suite 200 Warwick RI 02888-3847 | |
| (800) 370-3651 | |
| (860) 510-0020 |
| Full Name | Medop Behavioral Health Associates Of Rhode Island Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 222 Jefferson Blvd, Warwick, Rhode Island |
| Authorized Official Name and Position | Donna Dooley (CFO) |
| Authorized Official Contact | 8003703651 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medop Behavioral Health Associates Of Rhode Island Pc 55 Hatchetts Hill Rd Old Lyme CT 06371-1534 Ph: (800) 370-3651 | Medop Behavioral Health Associates Of Rhode Island Pc 222 Jefferson Blvd Suite 200 Warwick RI 02888-3847 Ph: (800) 370-3651 |
| NPI Number | 1013129220 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/30/2016 |
| Medicare PECOS PAC ID | 7517068992 |
|---|---|
| Medicare Enrollment ID | O20070730000476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013129220 | NPI | - | NPPES |
| MB68062 | Medicaid | RI |
| Provider Name | Susan D Weinman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215969944 PECOS PAC ID: 7517953235 Enrollment ID: I20040420001501 |
| Provider Name | Carol Shevlin Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174649537 PECOS PAC ID: 1951352954 Enrollment ID: I20050208000153 |
| Provider Name | Andrew Seth Rosenzweig |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942203690 PECOS PAC ID: 9234043134 Enrollment ID: I20050709000063 |
| Provider Name | Kara Marie Kirker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548453145 PECOS PAC ID: 8527156264 Enrollment ID: I20071114000339 |
| Provider Name | Michael Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518144351 PECOS PAC ID: 6608958632 Enrollment ID: I20080130000393 |
| Provider Name | Donald L Round |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598704132 PECOS PAC ID: 6709926835 Enrollment ID: I20091221000283 |
| Provider Name | Virginia Ann Rockhill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528097383 PECOS PAC ID: 8426071002 Enrollment ID: I20121004000559 |
| 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 | Stephanie Mullins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720104003 PECOS PAC ID: 2365613767 Enrollment ID: I20140319000451 |
| Provider Name | Santina Salerno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356740112 PECOS PAC ID: 6709008048 Enrollment ID: I20141121000034 |
| Provider Name | Etta G. Oye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093119315 PECOS PAC ID: 4284957895 Enrollment ID: I20150106000596 |
| Provider Name | Darlene Kupinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447206909 PECOS PAC ID: 0244123180 Enrollment ID: I20150727001617 |
| Provider Name | Brianne P Lienkamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639422355 PECOS PAC ID: 0244453462 Enrollment ID: I20151116000953 |
| Provider Name | Paul Gould |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801262316 PECOS PAC ID: 6204145055 Enrollment ID: I20151120001723 |
| Provider Name | Christine A Marra |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043238785 PECOS PAC ID: 5092868133 Enrollment ID: I20160823001589 |
| Provider Name | Elizabeth Walshe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326113978 PECOS PAC ID: 9739475468 Enrollment ID: I20160907001042 |
| Provider Name | Cynthia Jean Ruggiero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215482831 PECOS PAC ID: 1153609185 Enrollment ID: I20161026002344 |
| Provider Name | Renata Wos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457891483 PECOS PAC ID: 9133404940 Enrollment ID: I20170317001138 |
| Provider Name | Linda Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861930554 PECOS PAC ID: 8820373111 Enrollment ID: I20170329001302 |
| Provider Name | Veenu Thakur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275901514 PECOS PAC ID: 4082906383 Enrollment ID: I20170410001879 |
| Provider Name | Melissa V Perkins-banas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932338951 PECOS PAC ID: 1254484207 Enrollment ID: I20180322002503 |
| Provider Name | David Selasi Kwami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407351257 PECOS PAC ID: 0941565196 Enrollment ID: I20180517002225 |
| Provider Name | Doreen M Braz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114406006 PECOS PAC ID: 2163773839 Enrollment ID: I20180919000393 |
| Provider Name | Marian E Idahosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962973164 PECOS PAC ID: 2769720788 Enrollment ID: I20190215001887 |
| Provider Name | Madrone Bayan Phoenix |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548779366 PECOS PAC ID: 3476981473 Enrollment ID: I20200324003483 |
| Provider Name | Nicola Giordano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225216880 PECOS PAC ID: 1557446929 Enrollment ID: I20200723000831 |
| Provider Name | Mary Beth Boyce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821608936 PECOS PAC ID: 6305257486 Enrollment ID: I20201120001099 |
| Provider Name | Belarmina Montoya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356952477 PECOS PAC ID: 9931510807 Enrollment ID: I20201125000373 |
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