| Our Lady Of Fatima Hospital | |
|
200 High Service Ave North Providence RI 02904-5113 | |
| (401) 456-3000 | |
| (401) 456-3028 |
| Full Name | Our Lady Of Fatima Hospital |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 High Service Ave, North Providence, Rhode Island |
| Authorized Official Name and Position | Robert Jon Elders (SECRETARY) |
| Authorized Official Contact | 7147881249 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Lady Of Fatima Hospital 200 High Service Ave North Providence RI 02904-5113 Ph: (401) 456-3000 | Our Lady Of Fatima Hospital 200 High Service Ave North Providence RI 02904-5113 Ph: (401) 456-3000 |
| NPI Number | 1588089759 |
|---|---|
| Provider Enumeration Date | 02/25/2014 |
| Last Update Date | 12/21/2020 |
| Certification Date | 12/21/2020 |
| Medicare PECOS PAC ID | 7315179314 |
|---|---|
| Medicare Enrollment ID | O20140722001928 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588089759 | NPI | - | NPPES |
| Provider Name | William J Beliveau |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578588067 PECOS PAC ID: 4688573264 Enrollment ID: I20040102000373 |
| Provider Name | Jack P Mourad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912972050 PECOS PAC ID: 0547157513 Enrollment ID: I20040303000830 |
| Provider Name | Edward J Gauthier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750475992 PECOS PAC ID: 9537156070 Enrollment ID: I20040427001617 |
| Provider Name | R James Koness |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1750348157 PECOS PAC ID: 1052302635 Enrollment ID: I20040521000684 |
| Provider Name | Saira Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891749016 PECOS PAC ID: 9133103534 Enrollment ID: I20040615000103 |
| Provider Name | Ghulam Mustafa Surti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861499675 PECOS PAC ID: 1456331354 Enrollment ID: I20040721001569 |
| Provider Name | Chelsy Caren |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346207602 PECOS PAC ID: 3072588490 Enrollment ID: I20040830000684 |
| Provider Name | Karen Mcdonald |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1841236718 PECOS PAC ID: 5890762470 Enrollment ID: I20040914000004 |
| Provider Name | Andrea Goldfarb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609853290 PECOS PAC ID: 3072582493 Enrollment ID: I20041001000004 |
| Provider Name | Walter A Hollinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679663405 PECOS PAC ID: 0648238584 Enrollment ID: I20041227000049 |
| Provider Name | Tara A Nimiroski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295750867 PECOS PAC ID: 0941250203 Enrollment ID: I20050125000867 |
| Provider Name | Michele S Nardi |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1891880878 PECOS PAC ID: 0749230324 Enrollment ID: I20050207000497 |
| Provider Name | Wajahat Faheem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053323691 PECOS PAC ID: 6608827357 Enrollment ID: I20050210000058 |
| Provider Name | Deborah M Valletta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174650576 PECOS PAC ID: 7214962091 Enrollment ID: I20050929001067 |
| Provider Name | Joanne M Gibbons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982790291 PECOS PAC ID: 3173549102 Enrollment ID: I20051019000852 |
| Provider Name | David Kroessler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740211168 PECOS PAC ID: 7214838705 Enrollment ID: I20051209000439 |
| Provider Name | Maureen Harkavy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417911207 PECOS PAC ID: 9830104116 Enrollment ID: I20060207000900 |
| Provider Name | Thomas J Guilmette |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629140595 PECOS PAC ID: 3375559107 Enrollment ID: I20060329000117 |
| Provider Name | Jeanne Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174588875 PECOS PAC ID: 2466463252 Enrollment ID: I20060508000749 |
| Provider Name | Richard D Smith |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1215993993 PECOS PAC ID: 2860404407 Enrollment ID: I20060622000100 |
| Provider Name | Andrew Stone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538108857 PECOS PAC ID: 5698778223 Enrollment ID: I20060821000101 |
| Provider Name | Allison L Bernier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053429332 PECOS PAC ID: 4789680778 Enrollment ID: I20061016000115 |
| Provider Name | Nebyou Belay |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1194810507 PECOS PAC ID: 2860491032 Enrollment ID: I20061216000077 |
| Provider Name | Kazi M Salahuddin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558306225 PECOS PAC ID: 0042302952 Enrollment ID: I20070823000440 |
| Provider Name | Scott Haltzman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922025766 PECOS PAC ID: 0042221046 Enrollment ID: I20071107000618 |
| Provider Name | Dale L Folan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619162286 PECOS PAC ID: 5496843591 Enrollment ID: I20071126000354 |
| Provider Name | Neenoofar Haneef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871772160 PECOS PAC ID: 4789767401 Enrollment ID: I20080218000653 |
| Provider Name | Andrew John Lemoi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1114912193 PECOS PAC ID: 2466538178 Enrollment ID: I20080320000488 |
| Provider Name | Jon A Mukand |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1083787816 PECOS PAC ID: 3577581495 Enrollment ID: I20080325000638 |
| Provider Name | Barbara J Forloney |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1215108717 PECOS PAC ID: 8325111628 Enrollment ID: I20080721000101 |
| Provider Name | Amy Laura Snyder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265535355 PECOS PAC ID: 0648347765 Enrollment ID: I20080916000015 |
| Provider Name | Peter M Small |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972557346 PECOS PAC ID: 0042379455 Enrollment ID: I20081030000037 |
| Provider Name | Gerald Marsocci |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386649523 PECOS PAC ID: 7416016720 Enrollment ID: I20081031000229 |
| Provider Name | Mark A Shannon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508941089 PECOS PAC ID: 7517026099 Enrollment ID: I20081113000039 |
| Provider Name | Deborah E Carranza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700119062 PECOS PAC ID: 1153460548 Enrollment ID: I20091124000346 |
| Provider Name | Elizabeth Conklin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649359704 PECOS PAC ID: 8628158532 Enrollment ID: I20100113000309 |
| Provider Name | Joseph K Domenico |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972780583 PECOS PAC ID: 9436291002 Enrollment ID: I20100120000118 |
| Provider Name | Scott E Mcdonald |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942239363 PECOS PAC ID: 5193618130 Enrollment ID: I20100126000562 |
| Provider Name | Joseph J Doerr |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1427052703 PECOS PAC ID: 7810939386 Enrollment ID: I20100319000527 |
| Provider Name | William E Ottowitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932205655 PECOS PAC ID: 1456480334 Enrollment ID: I20100602000865 |
| Provider Name | Jeiny Zapata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750548665 PECOS PAC ID: 4981888450 Enrollment ID: I20110407000026 |
| Provider Name | Michael D Burgard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346458205 PECOS PAC ID: 7012181910 Enrollment ID: I20111110000361 |
| Provider Name | Richard William Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114122595 PECOS PAC ID: 9830364041 Enrollment ID: I20111215000669 |
| 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 | John K Findley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891777504 PECOS PAC ID: 8628052776 Enrollment ID: I20121018000516 |
| Provider Name | Robin A Chiang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780929026 PECOS PAC ID: 9335394188 Enrollment ID: I20130227000296 |
| Provider Name | Aleksandra S Phillips |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316018450 PECOS PAC ID: 7012969439 Enrollment ID: I20130731000274 |
| Provider Name | Teresa M Maine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801237235 PECOS PAC ID: 9638312879 Enrollment ID: I20130906000771 |
| Provider Name | Jesus Sosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508850975 PECOS PAC ID: 0446298517 Enrollment ID: I20131115001153 |
| Provider Name | Khin Sein Yin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1073537585 PECOS PAC ID: 1456354828 Enrollment ID: I20140227000187 |
| Provider Name | Kate M Zaluski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558599464 PECOS PAC ID: 4688805831 Enrollment ID: I20140401001278 |
| Provider Name | Laura M Linback |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124294087 PECOS PAC ID: 9739311226 Enrollment ID: I20140416000536 |
| Provider Name | Jessica Lima Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699014423 PECOS PAC ID: 8325261837 Enrollment ID: I20140529002414 |
| Provider Name | Dominic John Roda |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1407144264 PECOS PAC ID: 8426273491 Enrollment ID: I20140707001648 |
| Provider Name | Teresa R Garris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699194746 PECOS PAC ID: 5294952966 Enrollment ID: I20140805000446 |
| Provider Name | Kristina H Lavoie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487986881 PECOS PAC ID: 4789803636 Enrollment ID: I20140909000410 |
| Provider Name | Cathy D Lindbeck |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1831256221 PECOS PAC ID: 8123112158 Enrollment ID: I20150219002258 |
| Provider Name | Mohamad Hamdi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750570172 PECOS PAC ID: 7315125606 Enrollment ID: I20150811005250 |
| 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 | Thomas Owen Genese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922111632 PECOS PAC ID: 7012070360 Enrollment ID: I20151203002157 |
| Provider Name | Shera Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356786826 PECOS PAC ID: 9931403482 Enrollment ID: I20160204000165 |
| Provider Name | Crystal Souza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467826693 PECOS PAC ID: 2668776766 Enrollment ID: I20160210001953 |
| Provider Name | Eunice H Wharton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629214929 PECOS PAC ID: 9638474133 Enrollment ID: I20160222000969 |
| Provider Name | Quinn Flatley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689966764 PECOS PAC ID: 0547566432 Enrollment ID: I20160302001139 |
| Provider Name | Bridget Kelly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851636369 PECOS PAC ID: 9537451810 Enrollment ID: I20160706002109 |
| Provider Name | Rodrigo Nardi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679837876 PECOS PAC ID: 4284875717 Enrollment ID: I20160826001981 |
| Provider Name | Kate B Noveau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255423430 PECOS PAC ID: 7810278421 Enrollment ID: I20161219002013 |
| Provider Name | Margaret Frempong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508176090 PECOS PAC ID: 8820371107 Enrollment ID: I20170210001881 |
| Provider Name | Kathryn E Mccullough |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578014098 PECOS PAC ID: 9739308388 Enrollment ID: I20170223000152 |
| Provider Name | Dennis Goulet |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326488925 PECOS PAC ID: 2163728619 Enrollment ID: I20170627001880 |
| Provider Name | Rosalie Ann Camacho |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508385568 PECOS PAC ID: 6608141015 Enrollment ID: I20171011002661 |
| Provider Name | Olga L Morrone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801315098 PECOS PAC ID: 4880952688 Enrollment ID: I20171228001083 |
| Provider Name | Meredith E Sinel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487059895 PECOS PAC ID: 3072874817 Enrollment ID: I20180219002016 |
| Provider Name | Caitlin S Mcardle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508307240 PECOS PAC ID: 5092076794 Enrollment ID: I20180220002164 |
| 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 | Emily J Dimon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326560004 PECOS PAC ID: 9830450337 Enrollment ID: I20180226000484 |
| Provider Name | Kalpana R Polu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740219534 PECOS PAC ID: 9739172875 Enrollment ID: I20180301000455 |
| Provider Name | Heather Seger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427595602 PECOS PAC ID: 5294097416 Enrollment ID: I20180327002101 |
| Provider Name | R Bhawani Prasad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679534994 PECOS PAC ID: 2668510306 Enrollment ID: I20180406000713 |
| Provider Name | Kendra Apici |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306368881 PECOS PAC ID: 7911252044 Enrollment ID: I20180613003070 |
| Provider Name | Simon F Desjardins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821387580 PECOS PAC ID: 5294035101 Enrollment ID: I20180614000162 |
| 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 | Yun Li |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376868737 PECOS PAC ID: 9032456801 Enrollment ID: I20190201000315 |
| Provider Name | Patricia J Grendell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609006949 PECOS PAC ID: 2567709280 Enrollment ID: I20190202000180 |
| Provider Name | Ainsley K Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366913873 PECOS PAC ID: 5496093684 Enrollment ID: I20190213002394 |
| Provider Name | Asra Jawed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235535386 PECOS PAC ID: 2466746664 Enrollment ID: I20190220002984 |
| Provider Name | Kim P Raposo Busa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457583247 PECOS PAC ID: 3577690197 Enrollment ID: I20190430002238 |
| Provider Name | Nicole Solk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013340421 PECOS PAC ID: 5597088971 Enrollment ID: I20190503001616 |
| Provider Name | Robert William Macdonald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710532817 PECOS PAC ID: 7618206095 Enrollment ID: I20190910002782 |
| Provider Name | Monica L O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639459498 PECOS PAC ID: 9638467483 Enrollment ID: I20191021001885 |
| Provider Name | Timur-metin Mujdaba |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831570092 PECOS PAC ID: 3476885807 Enrollment ID: I20191104002399 |
| Provider Name | Katharine Costa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548749682 PECOS PAC ID: 1456787068 Enrollment ID: I20200130000235 |
| 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 | Thomas Defanti |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1043239783 PECOS PAC ID: 2668416512 Enrollment ID: I20210120002853 |
| Provider Name | Mahmood Hussain Sharfi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154311611 PECOS PAC ID: 6901823897 Enrollment ID: I20210122001072 |
| Provider Name | Jessica Belli Castronovo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740222421 PECOS PAC ID: 9931513363 Enrollment ID: I20210127000118 |
| Provider Name | Cindy Rojas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841833266 PECOS PAC ID: 0749694586 Enrollment ID: I20210205001759 |
| 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 | Linda Aguiar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457965998 PECOS PAC ID: 5890109243 Enrollment ID: I20210402000569 |
| Provider Name | Jacquelyn Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942631858 PECOS PAC ID: 9032527320 Enrollment ID: I20210427001012 |
| Provider Name | David Geyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063058584 PECOS PAC ID: 0345669016 Enrollment ID: I20210512000696 |
| Provider Name | Valerie Marie Almeida Monroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275159501 PECOS PAC ID: 7517366404 Enrollment ID: I20210526000714 |
| Provider Name | Elkins Guzman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679952451 PECOS PAC ID: 9830525575 Enrollment ID: I20210825000162 |
| Provider Name | Jenna L Butner |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1316258775 PECOS PAC ID: 3971724170 Enrollment ID: I20210917002656 |
| Provider Name | Margot Duchowny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174286116 PECOS PAC ID: 3870982937 Enrollment ID: I20211110001839 |
| Provider Name | Ernest A. Kendrick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124012067 PECOS PAC ID: 5799828976 Enrollment ID: I20211206001041 |
| Provider Name | Juan Gan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801001136 PECOS PAC ID: 7911226931 Enrollment ID: I20211214002553 |
| Provider Name | Emily Susan Rupert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912665001 PECOS PAC ID: 1951793439 Enrollment ID: I20220112002056 |
| Provider Name | Jon Dooley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619472339 PECOS PAC ID: 1951645472 Enrollment ID: I20220125000843 |
| Provider Name | Ashley Collins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457747933 PECOS PAC ID: 1254671191 Enrollment ID: I20220329001024 |
| Provider Name | Mohammed Siddiqui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639456122 PECOS PAC ID: 8729224720 Enrollment ID: I20220621000606 |
| Provider Name | Uchechukwu Ugorji |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033695986 PECOS PAC ID: 2567848583 Enrollment ID: I20220928003039 |
| Provider Name | Alice M Colon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093471054 PECOS PAC ID: 6507242294 Enrollment ID: I20221004001368 |
| Provider Name | Stephanie Connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073251039 PECOS PAC ID: 8325416027 Enrollment ID: I20221201000050 |
| Provider Name | Robinson Pierre-louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649856022 PECOS PAC ID: 6103295431 Enrollment ID: I20221208002300 |
| Provider Name | Natalia M. Arboleda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639823057 PECOS PAC ID: 5698130888 Enrollment ID: I20230421001340 |
| Provider Name | Carmen Benjamin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063905180 PECOS PAC ID: 1759756406 Enrollment ID: I20230530001025 |
| Provider Name | Ralph Eugene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225435829 PECOS PAC ID: 8123495595 Enrollment ID: I20230607001402 |
| Provider Name | Melissa Muriel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265154850 PECOS PAC ID: 9335518620 Enrollment ID: I20230705002264 |
| Provider Name | Lisbeth Rosario |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063196376 PECOS PAC ID: 5991164923 Enrollment ID: I20230707003175 |
| Provider Name | Jeremy Parker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780027888 PECOS PAC ID: 6507162906 Enrollment ID: I20230919000868 |
| Provider Name | Jason Lawrence Franklin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639941263 PECOS PAC ID: 4688023757 Enrollment ID: I20231214001910 |
| Provider Name | Kate Bowen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285872101 PECOS PAC ID: 6204289770 Enrollment ID: I20240131003419 |
| Provider Name | Valerie Jean Zuercher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023889391 PECOS PAC ID: 9638515109 Enrollment ID: I20240307001380 |
Rosalino Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1052 Charles St, Apt 2, North Providence, RI 02904 Phone: 401-419-4846 | |
Psychiatric Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 High Service Ave, North Providence, RI 02904 Phone: 401-456-3649 Fax: 401-752-8116 | |
Healthy Expressions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Miner St, North Providence, RI 02904 Phone: 401-660-6815 | |
St. Joseph Health Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 200 High Service Ave, North Providence, RI 02904 Phone: 401-456-3000 Fax: 401-456-3028 | |
Gina M. Iaciofano, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1920 Mineral Spring Ave, Unit 9, North Providence, RI 02904 Phone: 401-497-6500 | |
Clear Mind Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8 Hillview Dr, North Providence, RI 02904 Phone: 508-216-0077 Fax: 508-507-3350 |