NICHOLAS J PETROSINO (NPI# 1265056451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265056451 |
| Entity Type | Individual |
| Full Name | NICHOLAS J PETROSINO |
| Practice Address |
345 Blackstone Blvd Ste 2 Providence RI 02906-4829 |
| Mailing Address |
472 Morris Ave Providence RI 02906-3532 |
| Practice Telephone | 4014556200 |
| Mailing Telephone | 7815342644 |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
LP05015 | RI | Allopathic & Osteopathic Physicians |
| Street Address |
345 BLACKSTONE BLVD STE 2 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-4829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982127510 | Melanie A. Faust | Registered Nurse | 345 Blackstone Blvd Ste 2, Providence, RI 02906-4829 | 2017-07-25 |
| 1912521162 | Matthew David Howe | Psychiatry & Neurology | 345 Blackstone Blvd Ste 2, Providence, RI 02906-4829 | 2020-06-03 |
| 1770130692 | Louisa Isoud Thompson | Clinical Neuropsychologist | 345 Blackstone Blvd Ste 2, Providence, RI 02906-4829 | 2019-08-26 |
| 1578122412 | Rachel Ruderman-looff | Psychiatry & Neurology | 345 Blackstone Blvd Ste 2, Providence, RI 02906-4829 | 2019-06-12 |
| 1235618497 | David Wesley Nelson | Physician Assistant | 345 Blackstone Blvd Ste 2, Providence, RI 02906-4829 | 2018-08-08 |
| 1942795273 | Jesse Eli Moskowitz | Psychiatry & Neurology | 345 Blackstone Blvd Ste 2, Providence, RI 02906-4829 | 2018-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245175 | Birdsong Traditional Medicine, LLC | Acupuncturist | 148 Waterman St. Ground Level, Providence, RI 02906 | 2020-08-13 |
| 1881218071 | Madison Pomerantz | Psychiatry & Neurology | 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 | 2020-06-03 |
| 1316453855 | Ellen Van Ingen Darling | Psychologist | 285 Governor St Ste 250, Providence, RI 02906 | 2017-12-20 |
| 1275063919 | Marissa Martz | Psychiatry & Neurology | 345 Blackstone Blvd., Providence, RI 02906 | 2017-06-15 |
| 1235663220 | Alena Haltzman | Counselor | 223 Summit Ave, Providence, RI 02906 | 2017-04-17 |
| 1669823399 | Kathryn Fleming-ives LLC | Psychiatry & Neurology | 355 Hope St Unit 1, Providence, RI 02906 | 2016-06-23 |
| 1134573389 | Sarah E. Kramer | Psychiatry & Neurology | Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 | 2016-04-13 |
| 1538534201 | Laura Anne Buss | Social Worker | 55 Hope St., Providence, RI 02906 | 2015-12-07 |
| 1700289360 | Tinatin Surguladze | Counselor | 205 Waterman St Suite 106, Providence, RI 02906 | 2014-09-26 |
| 1467851519 | Jamila Allouane | Social Worker | 120 Wayland Avenue Suite 2, Providence, RI 02906 | 2014-08-14 |
| Find all providers in zip 02906 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218071 | Madison Pomerantz | Psychiatry & Neurology | 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 | 2020-06-03 |
| 1518526672 | Colleen Marie Lynd | Psychiatry & Neurology | 345 Blackstone Blvd # G, Providence, RI 02906-4800 | 2019-06-11 |
| 1275063919 | Marissa Martz | Psychiatry & Neurology | 345 Blackstone Blvd., Providence, RI 02906 | 2017-06-15 |
| 1023557188 | Whidbey Island Public Hospital District | Psychiatry & Neurology | 196 Congress Ave, Providence, RI 02907-1720 | 2017-02-21 |
| 1669823399 | Kathryn Fleming-ives LLC | Psychiatry & Neurology | 355 Hope St Unit 1, Providence, RI 02906 | 2016-06-23 |
| 1497102529 | Teresa Daniels | Psychiatry & Neurology | 618 Hope St # 1, Providence, RI 02906-2659 | 2016-05-18 |
| 1134573389 | Sarah E. Kramer | Psychiatry & Neurology | Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 | 2016-04-13 |
| 1942662598 | Lorangelly Rivera | Psychiatry & Neurology | 593 Eddy St Bldg Potter1, Providence, RI 02903-4923 | 2016-03-23 |
| 1912396805 | East Side Psychiatric Associates, Ltd | Psychiatry & Neurology | 295 Angell St Ste 5, Providence, RI 02906-2119 | 2015-01-14 |
| 1235557174 | Laura Ashley Mayer | Psychiatry & Neurology | 2 Dudley St Ste 120, Providence, RI 02905-3236 | 2014-03-28 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02906 |
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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.