STEPHANIE LEE PEZZONE (NPI# 1154946325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154946325 |
| Entity Type | Individual |
| Full Name | STEPHANIE LEE PEZZONE |
| Practice Address |
290 West Exchange Street Suite 100 Providence RI 02903 |
| Practice Telephone | 4018656000 |
| Mailing Telephone | 4018656000 |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
290 WEST EXCHANGE STREET SUITE 100 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982103685 | Rebecca Shafer | Behavior Technician | 290 West Exchange Street, Ste 101, Providence, RI 02903 | 2018-02-08 |
| 1790329282 | Justice C Drapeau | Behavior Technician | 290 West Exchange Street, Suite 101, Providence, RI 02903 | 2019-10-29 |
| 1235605585 | Kassandra Liz Alicea | Behavior Technician | 290 West Exchange Street, Suite 101, Providence, RI 02903 | 2018-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
| 1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
| 1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
| 1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
| 1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
| 1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
| 1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
| 1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
| 1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
| 1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
| Find all providers in zip 02903 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932738416 | Rhea Bhatia | Counselor | 219 Leah St Unit 2, Providence, RI 02908-3907 | 2020-04-06 |
| 1568098721 | Roisin Mcgettigan | Counselor | 365 Hope St, Providence, RI 02906-1633 | 2020-03-19 |
| 1962049932 | Wholelife Family Wellness Clinic of Providence Pllc | Counselor | 169 N Gateway Dr. Suite 170, Providence, UT 84332 | 2019-12-09 |
| 1679117675 | Abbey Seabury Chrupcala | Counselor | 382 Thayer St, Providence, RI 02906-1558 | 2019-11-01 |
| 1205392891 | Sara De Carvalho | Counselor | 21 Pratt St # 5, Providence, RI 02906-1424 | 2019-02-19 |
| 1376008078 | Rebecca Zub | Counselor | 58 Taft Ave Apt 9, Providence, RI 02906-3473 | 2019-02-06 |
| 1821509944 | Hologram Central | Counselor | 44 Barbara St Unit 1, Providence, RI 02909-5110 | 2017-10-16 |
| 1497273932 | Ashley Jasmine Williams | Counselor | 131 Ledge St, Providence, RI 02904-1532 | 2017-09-05 |
| 1912448481 | Catherine Allard | Counselor | 225 Carpenter St, Providence, RI 02903-3044 | 2017-03-16 |
| 1649711144 | Kerri Peterson Weaver | Counselor | 400 Reservoir Ave Ste Llo, Providence, RI 02907-3595 | 2017-03-16 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02903 |
Please comment or provide details below to improve the information on STEPHANIE LEE PEZZONE.
| 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.