PETITPAS PSYCHIATRIC SERVICES LLC NPI 1245695964

NPI Information

NPI: 1245695964
Provider Name: PETITPAS PSYCHIATRIC SERVICES, LLC
Classification: Clinical Nurse Specialist - 364SP0809X
Entity Type: Organization

Specialization: Psychiatric/Mental Health, Adult

Address:
900 RESERVOIR AVE
STE.2
CRANSTON, RI
ZIP 02910
Phone: (401) 944-0194
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PETITPAS PSYCHIATRIC SERVICES, LLC is a psychiatric/mental health and adult clinical nurse specialist in Cranston, RI. PETITPAS PSYCHIATRIC SERVICES, LLC NPI is 1245695964. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

900 RESERVOIR AVE
STE.2
CRANSTON, RI
ZIP 02910-453
Phone: (401) 944-0194
Fax: (401) 944-0196

The provider's authorized official is Patricia A Petitpas .
The authorized official title is Owner and has the following contact phone number (401) 944-0194.

The enumeration date for this NPI number is 12/22/2015 and was last updated on 12/22/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	PCNS00064	RHODE ISLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	413965	OTHER	RHODE ISLAND	RI BLUE CHIP PROVIDER #
2	0000032309	OTHER	RHODE ISLAND	RI BLUE CROSS PROVIDER #
3	6228710	OTHER	RHODE ISLAND	UNITED HEALTH PROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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