ANDERSON-SQUIRES, LLC (NPI# 1053740035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053740035 |
| Entity Type | Organization |
| Organization Name | ANDERSON-SQUIRES, LLC |
| Practice Address |
875 Centerville Rd Unit 2 Warwick RI 02886-4381 |
| Mailing Address |
Po Box 367 Wakefield RI 02880-0367 |
| Practice Telephone | 4014743595 |
| Mailing Telephone | 4014743595 |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2017-04-29 |
| Authorized Official Name | DR. DANIEL SQUIRES (CLINICAL PSYCHOLOGIST; CO-OWNER) |
| Authorized Official Telephone | 4014744004 |
| Authorized Official Credential | PHD, MPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
CSW01370 | RI | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS00980 | RI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | TYPE 1 NPI | 1902961642 | 01 |
| Street Address |
875 CENTERVILLE RD UNIT 2 |
| City | WARWICK |
| State | RI |
| Zip Code | 02886-4381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801896378 | Pierre Ross Michaud | Plastic Surgery | 875 Centerville Rd, Warwick, RI 02886-4381 | 2005-07-27 |
| 1508049305 | Medical Assisted Recovery, Inc. | Internal Medicine | 875 Centerville Rd, Warwick, RI 02886-4381 | 2007-12-14 |
| 1902961642 | Daniel Squires | Psychologist | 875 Centerville Rd, Unit 2, Warwick, RI 02886-4381 | 2006-12-22 |
| 1184638397 | Eileen G Johnson | Clinical Neuropsychologist | 875 Centerville Rd, Suite 15, Warwick, RI 02886-4381 | 2006-07-27 |
| 1205850989 | Sylvester C Sviokla | Specialist | 875 Centerville Rd, Suite 15, Warwick, RI 02886-4381 | 2006-07-27 |
| 1699708677 | Jessica Somerville Ruffolo | Clinical Neuropsychologist | 875 Centerville Rd, Unit 2, Warwick, RI 02886-4381 | 2006-07-10 |
| 1184685182 | Carole Seifert | Counselor | 875 Centerville Rd, Suite 15, Warwick, RI 02886-4381 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694445 | Sheri Lynn Sklarz | Specialist | 300 Quaker Lane, Miracle Ear Suite C15, Warwick, RI 02886 | 2020-03-23 |
| 1316581424 | Dr. Degiulio & Associates Inc | Optometrist | 400 Bald Hill Road Ste 163, Warwick Mall, Warwick, RI 02886 | 2019-10-31 |
| 1255813291 | Samantha Pena Moore | Behavioral Analyst | 3446 Post Road, Warwick, RI 02886 | 2018-09-06 |
| 1912496209 | Martin Jude Cotti | Internal Medicine | 455 Toll Gate Rd., Warwick, RI 02886 | 2018-05-02 |
| 1447764261 | Cynthia A Lessard | Nurse Practitioner | 15 Health Lane, Warwick, RI 02886 | 2017-12-01 |
| 1538687520 | David A. Bennett | Registered Nurse | 2756 Post Road, Warwick, RI 02886 | 2017-08-30 |
| 1427585223 | Brittany Teixeira | Counselor | 85 Earl Street, Warwick, RI 02886 | 2017-05-11 |
| 1497125199 | Aiden Philip Cwynar | Optometrist | 1050 Centerville Road, Warwick, RI 02886 | 2015-10-07 |
| 1104221738 | Wilfredo L Sancianco Dmd Inc | Preferred Provider Organization | 3411 W Shiore Rd, Warwick, RI 02886 | 2014-10-24 |
| 1831508662 | Matthew Bryant Mitchell | Physical Therapist | 400 Bald Hill Rd #511, Warwick, RI 02886 | 2014-08-06 |
| Find all providers in zip 02886 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629266226 | Tracy M Townsend | Psychologist | 931 Jefferson Blvd, Warwick, RI 02886-2234 | 2007-10-09 |
| 1962604439 | Sondra M Tuckfelt | Psychologist | 56 Sleepy Valley Rd, Warwick, NY 10990-2717 | 2007-06-05 |
| 1518080167 | Richard Vinacco Jr. | Psychologist | 57 Gillan Ave, Warwick, RI 02886-3105 | 2007-04-09 |
| 1003957283 | Norman Charles Dupont | Psychologist | 26 Janet Drive, Warwick, RI 02886-7424 | 2007-02-09 |
| 1881747871 | Julie Lucier | Psychologist | 3296 Post Rd Ste 2a, Warwick, RI 02886-7131 | 2007-01-21 |
| 1265584973 | Joseph Roman | Psychologist | 210 Ronald Reagan Blvd, Warwick, NY 10990-4107 | 2007-01-16 |
| 1588730311 | Ellen Kenner | Psychologist | 51 Jefferson Blvd, Suite 400, Warwick, RI 02888-1002 | 2006-11-24 |
| 1497363105 | Miranda Icart | Psychologist | 400 Bald Hill Rd, Warwick, RI 02886-1617 | 2020-07-20 |
| 1386200558 | Sharaya Mcfadden | Psychologist | 400 Bald Hill Rd Ste 530, Warwick, RI 02886-6111 | 2019-05-14 |
| 1538535034 | Mary Ellen Tillotson | Psychologist | 15 Aspen Way, Warwick, RI 02886-5006 | 2015-08-19 |
| Find all providers in WARWICK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.