| 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 | Andrew Seth 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 | 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 | Lisa Faille |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073796124 PECOS PAC ID: 0143595546 Enrollment ID: I20190205001055 |
| 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 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 | 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 | 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 | Amanda Surace Hanko |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538673223 PECOS PAC ID: 7719245620 Enrollment ID: I20220825002973 |
| Provider Name | Jhanev Allen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710404330 PECOS PAC ID: 7517341498 Enrollment ID: I20220825003032 |
| Provider Name | Andrew Wenstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194332577 PECOS PAC ID: 0143633446 Enrollment ID: I20220825003124 |
| Provider Name | Michael Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245959808 PECOS PAC ID: 0648655928 Enrollment ID: I20220922002815 |
| Provider Name | Partaja Niqua Spann Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952021933 PECOS PAC ID: 2466838412 Enrollment ID: I20220929000437 |
| 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 | Katrin Weir |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154451177 PECOS PAC ID: 3476969106 Enrollment ID: I20221006001058 |
| 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 | Jorge Aguilar Zanatta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477704971 PECOS PAC ID: 9335396969 Enrollment ID: I20230112002719 |
| Provider Name | Kimberly Abbaticola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467045278 PECOS PAC ID: 5092188466 Enrollment ID: I20230306001441 |
| Provider Name | Clement Omotuyi Ojo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083038244 PECOS PAC ID: 9234474206 Enrollment ID: I20230307002412 |
| 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 Jennifer 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 | Natalie Colon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609558071 PECOS PAC ID: 2062866981 Enrollment ID: I20230927000532 |
| 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 |
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