Organization · NPI-2
Angell Street Psychiatry Ltd
Psychiatry & Neurology, Psychiatry · Warwick, RI
NPI number1114011756
StatusActive
Last updated in NPPESJan 14, 2021
Details
- NPI
- 1114011756
- Entity type
- Organization (NPI-2)
- Legal business name
- Angell Street Psychiatry Ltd
- Organization subpart
- No
- Enumeration date
- Oct 3, 2006
- Certification date
- Aug 6, 2020
- Last updated
- Jan 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
| 103T00000X | Psychologist | – | – | |
| 104100000X | Social Worker | – | – | |
| 163WP0808X | Registered Nurse, Psych/Mental Health | – | – | |
| 207QA0401X | Family Medicine, Addiction Medicine | – | – |
Practice location
33 College Hill RdBld 29c
Warwick, RI 02886-2776
Phone 401-822-4673 · Fax 401-822-4676
Mailing address
33 College Hill RdBld 29c
Warwick, RI 02886-2776
Phone 401-822-4673 · Fax 401-822-4676
Other practice locations
321 Hope St
Providence, RI 02906-2209
Providence, RI 02906-2209
Phone 401-274-8777 · Fax 401-274-8784
Authorized official
David E Kroessler
President/Owner
4018224673
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