| Supportive Care I Of Rhode Island Pc | |
|
17 Adelphi Ave Providence RI 02906-4119 | |
| (718) 298-4375 | |
| Not Available |
| Full Name | Supportive Care I Of Rhode Island Pc |
|---|---|
| Speciality | Psychologist |
| Location | 17 Adelphi Ave, Providence, Rhode Island |
| Authorized Official Name and Position | Dov Newmark (PRESIDENT) |
| Authorized Official Contact | 7182984375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Care I Of Rhode Island Pc 27 Randolph Rd Howell NJ 07731-8611 Ph: (718) 298-4375 | Supportive Care I Of Rhode Island Pc 17 Adelphi Ave Providence RI 02906-4119 Ph: (718) 298-4375 |
| NPI Number | 1912666454 |
|---|---|
| Provider Enumeration Date | 12/13/2021 |
| Last Update Date | 12/13/2021 |
| Certification Date | 12/13/2021 |
| Medicare PECOS PAC ID | 1951793546 |
|---|---|
| Medicare Enrollment ID | O20220111000885 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912666454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Christie A Rishworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487683173 PECOS PAC ID: 6901843994 Enrollment ID: I20050412000162 |
| Provider Name | Andrew Rosenzweig |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942203690 PECOS PAC ID: 9234043134 Enrollment ID: I20050709000063 |
| Provider Name | Rebecca M Gessow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255493904 PECOS PAC ID: 3173549755 Enrollment ID: I20051022000227 |
| Provider Name | Sandra H Haas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780705293 PECOS PAC ID: 5193756906 Enrollment ID: I20060131000879 |
| Provider Name | Lynne Glaser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275520694 PECOS PAC ID: 5890705826 Enrollment ID: I20080702000116 |
| Provider Name | Darlene L Palermo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477731214 PECOS PAC ID: 8729151394 Enrollment ID: I20080716000272 |
| Provider Name | Michele S Ramos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467692640 PECOS PAC ID: 1951467141 Enrollment ID: I20090313000346 |
| Provider Name | Meredith Mcelroy Grillo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568597383 PECOS PAC ID: 3678604709 Enrollment ID: I20100706000343 |
| Provider Name | Natalie Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902180276 PECOS PAC ID: 0547429151 Enrollment ID: I20120316000260 |
| Provider Name | Adebola Adelaiye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427489657 PECOS PAC ID: 6103057229 Enrollment ID: I20140402001394 |
| Provider Name | Lynda M Lombardi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992128128 PECOS PAC ID: 7618106550 Enrollment ID: I20141121000161 |
| Provider Name | Richard Figueira |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689876856 PECOS PAC ID: 8325366768 Enrollment ID: I20150415001990 |
| Provider Name | Marian E Idahosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962973164 PECOS PAC ID: 2769720788 Enrollment ID: I20190215001887 |
| Provider Name | Joyce M Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336299890 PECOS PAC ID: 2961457247 Enrollment ID: I20190724000673 |
| Provider Name | Andy Montan Santos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972161644 PECOS PAC ID: 0547694580 Enrollment ID: I20191227000314 |
| Provider Name | Olanrewaju H Baruwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528609690 PECOS PAC ID: 9931535804 Enrollment ID: I20200212002818 |
| Provider Name | Georgina Dauda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740820919 PECOS PAC ID: 9133556285 Enrollment ID: I20200302000884 |
| Provider Name | Michael E Stern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265080832 PECOS PAC ID: 1254762875 Enrollment ID: I20200515000804 |
| Provider Name | Melissa Veras Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205434016 PECOS PAC ID: 5799197927 Enrollment ID: I20201214000140 |
| Provider Name | Carolina Boe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083924880 PECOS PAC ID: 0244582948 Enrollment ID: I20210325001171 |
| Provider Name | Marissa Abdow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548894934 PECOS PAC ID: 8123437563 Enrollment ID: I20210514000988 |
| Provider Name | Janet C Testoni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568836765 PECOS PAC ID: 3072814565 Enrollment ID: I20210715003607 |
| Provider Name | Anita Oforiwaa Obeng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093486417 PECOS PAC ID: 6406245638 Enrollment ID: I20211110000080 |
| Provider Name | Shrenik H Vyas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689244709 PECOS PAC ID: 4183015381 Enrollment ID: I20211223000480 |
| Provider Name | Julia M Longo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417629734 PECOS PAC ID: 4880088053 Enrollment ID: I20220304000054 |
| Provider Name | Tammy Weiner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417401894 PECOS PAC ID: 4688086226 Enrollment ID: I20220601000092 |
| Provider Name | Christina Onassis Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285297689 PECOS PAC ID: 6709264542 Enrollment ID: I20220607000405 |
| Provider Name | Samuel A Wolde |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275173536 PECOS PAC ID: 9739503426 Enrollment ID: I20220726002953 |
| Provider Name | Rachel M Salerno |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114235751 PECOS PAC ID: 0941215107 Enrollment ID: I20220726003021 |
| Provider Name | Maria Magdalena Sanchez-spitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407982804 PECOS PAC ID: 5092818815 Enrollment ID: I20220726003105 |
| Provider Name | Jhanev Allen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710404330 PECOS PAC ID: 7517341498 Enrollment ID: I20220825003032 |
| Provider Name | Michael R Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245959808 PECOS PAC ID: 0648655928 Enrollment ID: I20220922002815 |
| Provider Name | Anthony J Hoyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053970921 PECOS PAC ID: 1759767718 Enrollment ID: I20220929000821 |
| Provider Name | Joshua Brackett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316535545 PECOS PAC ID: 2567848575 Enrollment ID: I20220929001470 |
| Provider Name | Syreeta L Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982341681 PECOS PAC ID: 0648646414 Enrollment ID: I20221019001116 |
| Provider Name | Karen Lacey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700397189 PECOS PAC ID: 1557739901 Enrollment ID: I20221116002058 |
| Provider Name | Kimberly Abbaticola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467045278 PECOS PAC ID: 5092188466 Enrollment ID: I20230306001441 |
| Provider Name | Colton M Cranson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235764754 PECOS PAC ID: 2668847286 Enrollment ID: I20230413001755 |
| Provider Name | Oyewole Ogunnaike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497416424 PECOS PAC ID: 0143699165 Enrollment ID: I20230414001260 |
| Provider Name | Justin Ryan Feeney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790473619 PECOS PAC ID: 2466818356 Enrollment ID: I20230518002897 |
| Provider Name | Theresa Sheahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871023341 PECOS PAC ID: 4082989330 Enrollment ID: I20230523002323 |
| Provider Name | Melissa Muriel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265154850 PECOS PAC ID: 9335518620 Enrollment ID: I20230705002264 |
| Provider Name | Stephanie Bluman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538664958 PECOS PAC ID: 1850751116 Enrollment ID: I20230718002490 |
| Provider Name | Craig Tuchon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619635042 PECOS PAC ID: 5597125641 Enrollment ID: I20230720002205 |
| Provider Name | Nicole Dukett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457610800 PECOS PAC ID: 6103075965 Enrollment ID: I20230804001389 |
| Provider Name | Claudette Faucher-charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124403415 PECOS PAC ID: 2264749233 Enrollment ID: I20230810001738 |
| Provider Name | Chinwendu Chukwudike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982176020 PECOS PAC ID: 0840531182 Enrollment ID: I20230811000125 |
| Provider Name | Sheryl Apicella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740781921 PECOS PAC ID: 4880956556 Enrollment ID: I20230926003179 |
| Provider Name | Ebonee Little |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134881113 PECOS PAC ID: 6507220340 Enrollment ID: I20231010002136 |
| Provider Name | Eva Torres Maldonado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164881736 PECOS PAC ID: 9032491022 Enrollment ID: I20231010003488 |
| Provider Name | Irena Tsapelas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609464460 PECOS PAC ID: 3274946496 Enrollment ID: I20231106001259 |
| Provider Name | Jazlyn Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700487188 PECOS PAC ID: 9537517651 Enrollment ID: I20231130001844 |
| Provider Name | Jasmine Querida Roca |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760111223 PECOS PAC ID: 2567810443 Enrollment ID: I20231204000909 |
| Provider Name | Leonora O'farrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821534181 PECOS PAC ID: 9335599851 Enrollment ID: I20231227003090 |
| Provider Name | Bonita Irene Demello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962270918 PECOS PAC ID: 8123479375 Enrollment ID: I20240111003909 |
| Provider Name | Euridice Nobre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952170367 PECOS PAC ID: 8123465465 Enrollment ID: I20240322001522 |
| Provider Name | Catherine Trim-deignan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902528805 PECOS PAC ID: 2860839040 Enrollment ID: I20240322004186 |
| Provider Name | Rachel Bailey-moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679355143 PECOS PAC ID: 9830536788 Enrollment ID: I20240327001394 |
| Provider Name | Keith Stauch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487947115 PECOS PAC ID: 6204277213 Enrollment ID: I20240509000533 |
| Provider Name | Chantal Abbott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316659089 PECOS PAC ID: 8921440793 Enrollment ID: I20240524000503 |
| Provider Name | Laura Ann Gomes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932801040 PECOS PAC ID: 8729420500 Enrollment ID: I20240524000599 |
| Provider Name | Helen Loewenthal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295141554 PECOS PAC ID: 8628439163 Enrollment ID: I20240530003991 |
| Provider Name | Elisabeth Gessie Borno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992427439 PECOS PAC ID: 6709322324 Enrollment ID: I20240719000332 |
| Provider Name | Bernadette Chukwuezi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285167882 PECOS PAC ID: 7810432739 Enrollment ID: I20240824000090 |
| Provider Name | Earl Robert Gauthier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316063738 PECOS PAC ID: 3971043761 Enrollment ID: I20240906003962 |
| Provider Name | Lilian Djamila P Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063100451 PECOS PAC ID: 7416494240 Enrollment ID: I20240913000826 |
| Provider Name | Alexa L Moniz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205565678 PECOS PAC ID: 8729468400 Enrollment ID: I20240913001109 |
| Provider Name | Helen Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336630797 PECOS PAC ID: 4082960828 Enrollment ID: I20240920003642 |
| Provider Name | Uche Obu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548036387 PECOS PAC ID: 4981041290 Enrollment ID: I20241114002291 |
| Provider Name | Andria Duarte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811721897 PECOS PAC ID: 9335675511 Enrollment ID: I20241211002310 |
| Provider Name | Alberta Lalanne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609536523 PECOS PAC ID: 8729517859 Enrollment ID: I20250117002758 |
| Provider Name | Michele Nardi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891880878 PECOS PAC ID: 0749230324 Enrollment ID: I20250214000400 |
| Provider Name | Carolyne K Herman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750051108 PECOS PAC ID: 6709306343 Enrollment ID: I20250226000127 |
| Provider Name | Olga Gorea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417789553 PECOS PAC ID: 5890226385 Enrollment ID: I20250226000879 |
| Provider Name | Elaine Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558768622 PECOS PAC ID: 9830522796 Enrollment ID: I20250529000034 |
| Provider Name | Fnu Vrinda |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760255178 PECOS PAC ID: 2769993062 Enrollment ID: I20250613002956 |
One Step At A Time Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Kinfield St, Providence, RI 02909 Phone: 401-871-2379 | |
Agape Love Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Ruggles St, Providence, RI 02908 Phone: 401-206-5698 Fax: 626-227-7862 | |
Optum Behavioral Care Of Connecticut, P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 245 Waterman St Ste 200, Providence, RI 02906 Phone: 401-369-8192 | |
Aba Centers Of Rhode Island Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 235 Georgia Ave Ste 110, Providence, RI 02905 Phone: 844-982-4222 | |
Because I Matter Wellness Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Wayland Ave, Suite 4b, Providence, RI 02906 Phone: 401-431-2953 | |
Providence Behavioral Health Associates Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1075 Smith St, Providence, RI 02908 Phone: 401-369-9224 Fax: 401-369-9275 | |
University Of Rhode Island Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 Washington St, 303, Providence, RI 02903 Phone: 401-277-5180 |