| Dr Justin Parent, PHD | |
|
1170 Pontiac Ave Ste 100, Cranston, RI 02920-7944 | |
| (401) 343-4343 | |
| (401) 296-3995 |
| Full Name | Dr Justin Parent |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 1170 Pontiac Ave Ste 100, Cranston, 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 |
|---|---|---|---|
| 1487236097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PY10666 (Florida) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PS01955 (Rhode Island) | Primary |
| Entity Name | South County Psychiatry LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003454034 PECOS PAC ID: 4880021658 Enrollment ID: O20200218000767 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Justin Parent, PHD 1170 Pontiac Ave Ste 100, Cranston, RI 02920-7944 Ph: (401) 343-4343 | Dr Justin Parent, PHD 1170 Pontiac Ave Ste 100, Cranston, RI 02920-7944 Ph: (401) 343-4343 |
Danielle Elizabeth White, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 27 Midland Dr, Cranston, RI 02920 Phone: 401-580-0208 |
Samantha A. Kirk, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 84 Bartlett Ave, Cranston, RI 02905 Phone: 401-243-7044 Fax: 401-842-0360 |
Amy Sisson, PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 935 Park Avenue, Cranston, RI 02910 Phone: 401-781-4380 |
Frank Joseph Gallo, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Po Box 8592, Cranston, RI 02920 Phone: 401-594-9010 |
Abigail K. Mansfield Marcaccio, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1170 Pontiac Ave Ste 100, Cranston, RI 02920 Phone: 401-343-4343 |
Dr. Lisa Weyandt, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1170 Pontiac Ave Ste 100, Cranston, RI 02920 Phone: 401-343-4343 Fax: 401-296-3995 |
Ann K Adler, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 37 Rolfe Sq Fl 2, Cranston, RI 02910 Phone: 401-714-6109 Fax: 401-287-8766 |