REBECCA MCLEAN (NPI# 1144643495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144643495 |
Entity Type | Individual |
Full Name | REBECCA MCLEAN |
Practice Address |
111 Brewster St Pawtucket RI 02860-4474 |
Mailing Address |
345 Blackstone Blvd Providence RI 02906-4800 |
Practice Telephone | 4012730641 |
Mailing Telephone | 4012730641 |
Enumeration Date | 2014-01-22 |
Last Update Date | 2014-01-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | PS01409 | RI | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255501128 | Rebecca Jeanne Mclean | Acupuncturist | 3022 W Avenue L, Lancaster, CA 93536-4036 | 2008-03-07 |
1316074289 | Rebecca Mclean I | Case Manager/Care Coordinator | 4612 Roseville Rd, North Highlands, CA 95660-5175 | 2007-02-27 |
1104860972 | Rebecca N. Mclean | Nurse Anesthetist, Certified Registered | 3333 Silas Creek Pkwy, Winston-salem, NC 27103-3013 | 2006-06-15 |
Street Address |
111 BREWSTER ST |
City | PAWTUCKET |
State | RI |
Zip Code | 02860-4474 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275534281 | Zsolt Orban | Internal Medicine | 111 Brewster St, Pawtucket, RI 02860-4474 | 2005-08-02 |
1861020646 | Marleny Margarita Acosta | Family Medicine | 111 Brewster St, Pawtucket, RI 02860-4400 | 2020-03-29 |
1508492208 | Kimberly A Ainsworth | Nurse Practitioner | 111 Brewster St, Pawtucket, RI 02860-4400 | 2020-03-14 |
1962066878 | Pavinarmatha Ketheeswaran | Family Medicine | 111 Brewster St, Pawtucket, RI 02860-4474 | 2019-04-25 |
1679137780 | Rebecca Lauren Lach | Family Medicine | 111 Brewster St, Pawtucket, RI 02860-4474 | 2019-04-24 |
1700349495 | Katharina Rosalinde De Klerk | Family Medicine | 111 Brewster St, Pawtucket, RI 02860-4474 | 2019-04-09 |
1962965905 | Matthew Perry | Family Medicine | 111 Brewster St, Pawtucket, RI 02860-4474 | 2019-04-08 |
1184185662 | Amber Cardoos | Family Medicine | 111 Brewster St, Pawtucket, RI 02860-4474 | 2019-03-27 |
1073073581 | Cailey Indech | Family Medicine | 111 Brewster St, Pawtucket, RI 02860-4474 | 2019-03-21 |
1639639271 | Laura Nicole Hoeg | Family Medicine | 111 Brewster St, Pawtucket, RI 02860-4474 | 2019-03-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972096923 | Lmb Medical LLC | Internal Medicine | 127 School St, Pawtucket, RI 02860 | 2018-06-13 |
1215420435 | Tyla Jackson | Behavior Technician | 70 Wood St Apt 22, Pawtucket, RI 02860 | 2018-06-12 |
1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
1730690488 | Anthony Edwin Ramicone | Physician Assistant | 407 East Ave Ste 120, Pawtucket, RI 02860 | 2017-10-21 |
1669991352 | Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC | Clinic/Center | 407 East Ave; Suite 110, Pawtucket, RI 02860 | 2017-09-13 |
1841716230 | Ri Alternative Academy Management, LLC | Local Education Agency (LEA) | 249 Roosevelt Avenue, Pawtucket, RI 02860 | 2017-08-17 |
1396265724 | Hannah R Stoops | Family Medicine | 111 Brewster St Fcc A, Pawtucket, RI 02860 | 2017-06-27 |
1427578400 | Shaun Michael Flynn | Family Medicine | 111 Brewster St, Fcc A, Pawtucket, RI 02860 | 2017-06-21 |
1073051843 | Laura Jane Amaral | Counselor | 750 East Ave Unit 1e, Pawtucket, RI 02860 | 2017-02-01 |
1063862027 | Stephanie Shoppell | Counselor | 105 Bacon Street, Pawtucket, RI 02860 | 2016-06-20 |
Find all providers in zip 02860 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275668006 | East Bay Neurology Professional Corporation | Clinical Neuropsychologist | 333 School St Ste 216, Pawtucket, RI 02860 | 2007-02-22 |
1619909108 | Melissa M Amick | Clinical Neuropsychologist | Memorial Hospital of Rhode Island, 111 Brewster Street, Pawtucket, RI 02860 | 2006-07-07 |
1124437264 | Meredith Amaya-hodges | Clinical Neuropsychologist | 555 Prospect St, Pawtucket, RI 02860-6200 | 2014-08-02 |
1245477785 | Sherri Lynn Provencal | Clinical Neuropsychologist | 555 Prospect St, Pawtucket, RI 02860-6200 | 2009-01-20 |
1720260805 | Laura Lynnette Frakey | Clinical Neuropsychologist | 111 Brewster Street, Pawtucket, RI 02860-4400 | 2007-11-30 |
1942224639 | Janet Grace | Clinical Neuropsychologist | Memorial Hospital of Rhode Island, 111 Brewster Street, Pawtucket, RI 02860 | 2006-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689299661 | Laura Elizabeth Korthauer Gilmour | Clinical Neuropsychologist | 110 Lockwood St Ste 430, Providence, RI 02903-4815 | 2020-06-15 |
1992339501 | Carmen G Armengol | Clinical Neuropsychologist | 58 Rochambeau Ave, Providence, RI 02906-1908 | 2020-02-24 |
1689140121 | Ef Advantage LLC | Clinical Neuropsychologist | 989 Reservoir Ave Ste 4, Cranston, RI 02910-5137 | 2018-10-23 |
1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
1679064935 | Marlana Joyce Borgos | Clinical Neuropsychologist | 10 Howland Farm Rd, East Greenwich, RI 02818-2651 | 2018-05-22 |
1902329667 | Neuroperformance Group, L.l.c | Clinical Neuropsychologist | Two Regency Plaza, Suite 3, Providence, RI 02903 | 2017-07-24 |
1871856484 | Rachel K Baldwin | Clinical Neuropsychologist | 355 Hope Street, 2nd Floor, Unit 6, Providence, RI 02906 | 2012-06-19 |
1932338951 | Melissa Perkins-banas | Clinical Neuropsychologist | 260 W Exchange St Ste 210, Providence, RI 02903-1000 | 2009-07-12 |
1114146958 | Barbara Ann Baron | Clinical Neuropsychologist | 175 Progress St, Lincoln, RI 02865-3015 | 2007-04-24 |
1134136963 | Jon Kimpton | Clinical Neuropsychologist | 481a Kingstown Rd, Wakefield, RI 02879-3607 | 2006-08-02 |
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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.