| Nicholas Tarantino, PHD | |
|
1 Hoppin Street, Coro West, Suite 204, Providence, RI 02903 | |
| (401) 793-8706 | |
| Not Available |
| Full Name | Nicholas Tarantino |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 1 Hoppin Street, Providence, 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 |
|---|---|---|---|
| 1467090456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS01727 (Rhode Island) | Primary |
| Entity Name | The Miriam Hospital |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1275810434 PECOS PAC ID: 6901796408 Enrollment ID: O20120405000306 |
| Entity Name | Lifespan Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548506793 PECOS PAC ID: 2567455082 Enrollment ID: O20130528000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Tarantino, PHD 1 Hoppin Street, Coro West, Suite 204, Providence, RI 02903 Ph: (401) 793-8706 | Nicholas Tarantino, PHD 1 Hoppin Street, Coro West, Suite 204, Providence, RI 02903 Ph: (401) 793-8706 |
Julie Elizabeth Morris, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 146 W River St, Suite 11a, Providence, RI 02904 Phone: 401-793-8770 Fax: 401-793-8709 | |
Dr. Livia Freier, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 38 N Court St, Providence, RI 02903 Phone: 401-484-7050 | |
Debra J Lobato-barrera, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Hoppin St, Suite 204, Providence, RI 02903 Phone: 401-444-8945 Fax: 401-444-8742 | |
Mrs. Gladys V Rezendes, MSW LICSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 118 Comstock Avenue, Providence, RI 02907 Phone: 401-621-5882 Fax: 501-621-8463 | |
Mrs. Rhonda L Sabo, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 341 Broadway, Providence, RI 02909 Phone: 401-453-5100 | |
Dr. Kineret Kandelker, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 202 5th St, Providence, RI 02906 Phone: 973-380-7997 | |
Dr. Mark A Celio, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 121 S Main St, Providence, RI 02903 Phone: 401-863-6662 |