MARYGENE MANANSALA SANTA TERESA


Address: 530 North Main Street, The Providence Center, Providence, RI 02904
Phone: 4015280110

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 530 NORTH MAIN STREET
THE PROVIDENCE CENTER
City PROVIDENCE
State RI
Zip Code 02904

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

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City PROVIDENCE
Zip Code 02904

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Dataset Information

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.

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