| Silver Spring Health Care Management, Inc | |
|
1 High St Wakefield RI 02879-3103 | |
| (401) 788-2310 | |
| (401) 788-8529 |
| Full Name | Silver Spring Health Care Management, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 High St, Wakefield, Rhode Island |
| Authorized Official Name and Position | Thomas Breen (CFO) |
| Authorized Official Contact | 4017881605 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Silver Spring Health Care Management, Inc Po Box 229 Wakefield RI 02880-0229 Ph: (401) 788-8757 | Silver Spring Health Care Management, Inc 1 High St Wakefield RI 02879-3103 Ph: (401) 788-2310 |
| NPI Number | 1104871003 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 12/18/2023 |
| Certification Date | 12/18/2023 |
| Medicare PECOS PAC ID | 4688661127 |
|---|---|
| Medicare Enrollment ID | O20060815000320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104871003 | NPI | - | NPPES |
| Provider Name | Anthony Gallo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780622449 PECOS PAC ID: 7416934799 Enrollment ID: I20081113000364 |
| Provider Name | Holly B. Fuscaldo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639786619 PECOS PAC ID: 3678970472 Enrollment ID: I20210921003236 |
| Provider Name | Susan Pratt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952051385 PECOS PAC ID: 9830585207 Enrollment ID: I20220412000928 |
| Provider Name | Ashley A. Foster |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356969588 PECOS PAC ID: 0345693875 Enrollment ID: I20240131002410 |
| Provider Name | Michelle Kurzbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710669577 PECOS PAC ID: 0345685020 Enrollment ID: I20240304003844 |
| Provider Name | Amanda Lois Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790505626 PECOS PAC ID: 5597299594 Enrollment ID: I20241113003556 |
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