| Michael Scott Trazi, PMHNP-BC | |
|
65 Village Square Dr Ste 302, South Kingstown, RI 02879-2569 | |
| (401) 530-5090 | |
| (401) 572-3364 |
| Full Name | Michael Scott Trazi |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 65 Village Square Dr Ste 302, South Kingstown, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669878401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN47243 (Rhode Island) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN01048 (Rhode Island) | Primary |
| Entity Name | Emma Pendleton Bradley Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578768867 PECOS PAC ID: 3870527526 Enrollment ID: O20050921001082 |
| Entity Name | Child And Family Psychiatry, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760863229 PECOS PAC ID: 5294173464 Enrollment ID: O20240406000126 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Scott Trazi, PMHNP-BC 50 Holden St, Providence, RI 02908-5757 Ph: (401) 274-1122 | Michael Scott Trazi, PMHNP-BC 65 Village Square Dr Ste 302, South Kingstown, RI 02879-2569 Ph: (401) 530-5090 |
Laura Davidson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 65 Village Square Dr Ste 302, South Kingstown, RI 02879 Phone: 401-785-0040 Fax: 401-633-6253 | |
Brigid Guidera, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36 S County Commons Way Ste C5, South Kingstown, RI 02879 Phone: 401-782-2400 | |
Rachel F Mikutel, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 65 Village Square Dr Ste 302, South Kingstown, RI 02879 Phone: 310-905-2111 | |
Cynthia Lynne Notarianni, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23 North Rd Ste A36, South Kingstown, RI 02879 Phone: 401-864-2447 | |
Kristen E Gricus, PMHNP-BC, IBCLC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 65 Village Square Dr Ste 302, South Kingstown, RI 02879 Phone: 844-754-6564 | |
Amanda Desenna, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Kenyon Ave, South Kingstown, RI 02879 Phone: 401-782-8000 | |
Mrs. Andrea D'antonio, CPNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 65 Village Square Dr, South Kingstown, RI 02879 Phone: 401-789-5924 Fax: 401-782-1770 |