MARYGENE MANANSALA SANTA TERESA (NPI# 1336158344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336158344 |
Entity Type | Individual |
Full Name | MARYGENE MANANSALA SANTA TERESA |
Credential | MD |
Practice Address |
530 North Main Street The Providence Center Providence RI 02904 |
Mailing Address |
41 Emily Ln Warwick RI 02886-4527 |
Practice Telephone | 4015280110 |
Practice Fax Number | 4012764111 |
Mailing Telephone | 2016479831 |
Mailing Fax Number | 4012764111 |
Enumeration Date | 2006-08-07 |
Last Update Date | 2011-10-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
11597 | RI | Allopathic & Osteopathic Physicians |
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
041649 | CT | Allopathic & Osteopathic Physicians |
Street Address |
530 NORTH MAIN STREET THE PROVIDENCE CENTER |
City | PROVIDENCE |
State | RI |
Zip Code | 02904 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447896279 | Kathleen Anne Ferrante | Registered Nurse | 530 North Main Street, Same, Providence, RI 02904 | 2019-11-27 |
1437706892 | Jacqueline Ayuso | Registered Nurse | 530 North Main Street, E & D, Providence, RI 02904 | 2019-08-21 |
1225412984 | Kenia Richards | Counselor | 530 North Main Street, Providence, RI 02904 | 2015-07-13 |
1639353840 | Alicia Silvia-burke | Registered Nurse | 530 North Main Street, The Providence Center, Providence, RI 02904 | 2007-12-24 |
1710161922 | Linda O'malley | Counselor | 530 North Main Street, The Providence Center, Providence, RI 02904 | 2007-12-24 |
1023135795 | Vanna Phrommavanh | Counselor | 530 North Main Street, The Providence Center, Providence, RI 02904 | 2007-03-26 |
1790885192 | Elynore Potter | Registered Nurse | 530 North Main Street, Providence, RI 02904 | 2006-09-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
Find all providers in zip 02904 |
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 | 02904 |
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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.