SOFIA EDLUND-WYNN (NPI# 1316393499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316393499 |
| Entity Type | Individual |
| Full Name | SOFIA EDLUND-WYNN |
| Practice Address |
75 Sockanosset Cross Rd Suite 301 Cranston RI 02920-5558 |
| Practice Telephone | 4014158868 |
| Practice Fax Number | 4014158880 |
| Mailing Telephone | 4014158868 |
| Mailing Fax Number | 4014158880 |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MHC00786 | RI | Behavioral Health & Social Service Providers |
| Street Address |
75 SOCKANOSSET CROSS RD SUITE 301 |
| City | CRANSTON |
| State | RI |
| Zip Code | 02920-5558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609861160 | Lynn Ricks | Nurse Practitioner | 75 Sockanosset Cross Rd, Suite 100, Cranston, RI 02920-5558 | 2005-09-12 |
| 1619420056 | Patricia Gedarovich | Nurse Practitioner | 75 Sockanosset Cross Rd, Suite 301, Cranston, RI 02920-5558 | 2016-08-02 |
| 1811340631 | East Coast Medical, LLC | Clinic/Center | 75 Sockanosset Cross Rd, Suite 208a, Cranston, RI 02920-5558 | 2016-07-16 |
| 1073971065 | Lindsay Schulz | Social Worker | 75 Sockanosset Cross Rd, Suite 301, Cranston, RI 02920-5558 | 2016-02-04 |
| 1265838536 | Michelle Neuner | Massage Therapist | 75 Sockanosset Cross Rd, Cranston, RI 02920-5558 | 2014-11-13 |
| 1053711259 | Back In Balance, Inc. | Massage Therapist | 75 Sockanosset Cross Rd, Suite 110, Cranston, RI 02920-5558 | 2014-08-26 |
| 1326451311 | Marie Margaret Mccoole | Registered Nurse | 75 Sockanosset Cross Rd, Suite 301, Cranston, RI 02920-5558 | 2014-06-06 |
| 1720347123 | Kimberly Anna Propert | Nurse Practitioner | 75 Sockanosset Cross Rd, Suite 100, Cranston, RI 02920-5558 | 2012-05-07 |
| 1750568531 | Veenu Garewal | Internal Medicine | 75 Sockanosset Cross Rd, Suite 100, Cranston, RI 02920-5558 | 2008-01-24 |
| 1649472895 | Kathryn O. Coolidge | Internal Medicine | 75 Sockanosset Cross Rd, Suite 100, Cranston, RI 02920-5558 | 2007-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184262198 | Beacon Dental Health Ri, PC | Clinic/Center | Beacon Dental Health Ri, P.C., 1090 New London Avenue, Cranston, RI 02920 | 2019-12-20 |
| 1821642240 | Jaime L Nixon | Dietitian, Registered | 444 Meshanticut Valley Parkway, Apt 37, Cranston, RI 02920 | 2019-07-25 |
| 1164923553 | Codac Inc | Peer Specialist | 3 Regan Ct, Cranston, RI 02920 | 2018-02-22 |
| 1144673096 | Joanne Le | Optometrist | 1400 Oaklawn Ave., Cranston, RI 02920 | 2016-07-15 |
| 1053790733 | Alanna Conley | Speech-Language Pathologist | 45 Sockanosset Cross Rd Ste 100, Cranston, RI 02920 | 2015-05-27 |
| 1114322740 | Nicole Enos | Physical Therapist | 51 Sockanosset Crossroad, Cranston, RI 02920 | 2014-10-24 |
| 1841622313 | Courtney Faiith Oliver | Occupational Therapy Assistant | 150 Midway Road, Suite 173, Cranston, RI 02920 | 2013-08-06 |
| 1386086403 | Sarah Gonzalez | Marriage & Family Therapist | 105 Sockanosset Cross Rd Ste 102, Cranston, RI 02920 | 2013-07-18 |
| 1902246788 | Amanda Lee Zarriello | Physical Medicine & Rehabilitation | 10 Worthington Rd, Cranston, RI 02920 | 2013-06-26 |
| 1962742528 | Yatyee Lee | Counselor | 141 Elmwood Avenue, Cranston, RI 02920 | 2013-02-19 |
| Find all providers in zip 02920 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174080717 | Maxine Swajian | Counselor | 100 Midway Rd Ste 9, Cranston, RI 02920-5742 | 2019-03-01 |
| 1003308982 | Arturo Ramirez | Counselor | 9 Carlo Ct, Cranston, RI 02921-2603 | 2018-06-05 |
| 1336638303 | Rhode Island Counseling Associates LLC | Counselor | 1150 Reservoir Ave Ste 203, Cranston, RI 02920-6043 | 2018-05-05 |
| 1326547225 | Kelly O'brien | Counselor | 46 Briar Hill Dr, Cranston, RI 02921-1202 | 2018-02-06 |
| 1093250466 | Courtney Young | Counselor | 6 Collingwood Dr, Cranston, RI 02921-2609 | 2016-12-21 |
| 1659722916 | Eric John Fallon | Counselor | 232 Northup St, Cranston, RI 02905-4215 | 2016-06-28 |
| 1114313384 | Ashley Ann Macari | Counselor | 178 Park Ave, Cranston, RI 02905-2650 | 2015-04-14 |
| 1861890105 | Marissa Falco | Counselor | 1471 Elmwood Avenue, Cranston, RI 02910 | 2014-12-19 |
| 1952702425 | Lauren Beth Shibley | Counselor | 825 Pontiac Avenue Apt 14101, Cranston, RI 02910 | 2014-09-15 |
| 1972920585 | Massiel F Almond Frias | Counselor | 221 Woodbine St, Cranston, RI 02910-2953 | 2014-03-20 |
| Find all providers in CRANSTON | ||||
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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.