MARSHALL BENJAMIN WOLD (NPI# 1396728200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396728200 |
| Entity Type | Individual |
| Full Name | MARSHALL BENJAMIN WOLD |
| Credential | MD |
| Practice Address |
610 Wampanoag Trl Riverside RI 02915-1504 |
| Mailing Address |
36 Middle Hwy Barrington RI 02806-1205 |
| Practice Telephone | 4014319870 |
| Practice Fax Number | 4014357486 |
| Mailing Telephone | 4012417736 |
| Mailing Fax Number | 4014357486 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2007-11-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD10337 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | BLUE CHIP | 408303 | 01 |
| RI | 7058679 | 05 | |
| RI | BC/BS OF RI | 25677-7 | 01 |
| RI | UBH | 15-61526 | 01 |
| Street Address |
610 WAMPANOAG TRL |
| City | RIVERSIDE |
| State | RI |
| Zip Code | 02915-1504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952792772 | Charmian Talbot | Counselor | 610 Wampanoag Trl, Riverside, RI 02915-1504 | 2015-02-16 |
| 1760888903 | Susan Mancini | Registered Nurse | 610 Wampanoag Trl, Riverside, RI 02915-1504 | 2014-11-17 |
| 1851797153 | Karen Marie Healy | Registered Nurse | 610 Wampanoag Trl, Riverside, RI 02915-1504 | 2014-11-13 |
| 1760809974 | Dianne Davis Berg | Social Worker | 610 Wampanoag Trl, Riverside, RI 02915-1504 | 2014-03-25 |
| 1104165901 | Beth Donovan | Counselor | 610 Wampanoag Trl, Riverside, RI 02915-1504 | 2013-02-14 |
| 1215207519 | Holly Lasko | Social Worker | 610 Wampanoag Trl, Riverside, RI 02915-1504 | 2012-01-04 |
| 1750607677 | Michelle Black | Counselor | 610 Wampanoag Trl, Riverside, RI 02915-1504 | 2010-04-16 |
| 1497082812 | Laurie A. Lennon | Social Worker | 610 Wampanoag Trl, Riverside, RI 02915-1504 | 2009-11-05 |
| 1699917260 | Brenda Coutu | Registered Nurse | 610 Wampanoag Trl, Riverside, RI 02915-1504 | 2009-03-29 |
| 1699911750 | Edward B Rush | Social Worker | 610 Wampanoag Trl, Riverside, RI 02915-1504 | 2008-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881101335 | Brown Medicine | Clinic/Center | 62-68 Amaral Street, East Providence, RI 02915 | 2018-01-05 |
| 1093245391 | Robyn Lee Cranson | Pharmacist | 1086 Willet Ave, Rite Aid Pharmacy, Riverside, RI 02915 | 2017-06-19 |
| 1548703622 | Rebecca Leigh Bejma | Registered Nurse | 100 Bullocks Ave, East Providence, RI 02915 | 2016-11-22 |
| 1568833408 | Riverside Smiles Theodore I Goldberg, Dmd PC & Associates | Dentist | 250 Wampanoag Trail Suite 103, Riverside, RI 02915 | 2015-10-19 |
| 1003165796 | Sandra Cairo | Registered Nurse | 125 Bayview Ave, Riverside, RI 02915 | 2012-09-10 |
| 1487916136 | East Bay Community Action Program | Peer Specialist | 100 Bullocks Point, Riverside, RI 02915 | 2012-06-08 |
| 1497041453 | Bethany Marie Goldberg | Nurse Practitioner | 38 Amaral Street, Riverside, RI 02915 | 2011-06-28 |
| 1790078947 | Matthew Lynch | Internal Medicine | 375 Wampanoag Trl Ste 302a, Riverside, RI 02915 | 2011-05-20 |
| 1679866206 | Jill Stone | Occupational Therapist | 57 Euclid Ave, East Providence, RI 02915 | 2011-05-16 |
| 1770884462 | Kristin F. Cadieux | Nurse Practitioner | 375 Wampanoag Trl Ste 102, Riverside, RI 02915 | 2010-11-11 |
| Find all providers in zip 02915 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407968068 | Richard Joonkoo Lee | Psychiatry & Neurology | 3125 Myers St, Rcdmh Children's Treatment Services, Riverside, CA 92503-5527 | 2006-08-31 |
| 1184665150 | John Noubueze Ojinmah | Psychiatry & Neurology | 9990 County Farm Rd, Riverside, CA 92503-3542 | 2006-06-09 |
| 1598104903 | Hera Jafry | Psychiatry & Neurology | 2085 Rustin Ave, Riverside, CA 92507-2498 | 2013-06-19 |
| 1023365707 | Tanuja P Gandhi | Psychiatry & Neurology | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2012-08-13 |
| 1619234341 | Amy Egolf | Psychiatry & Neurology | 1011 Veterans Memorial Pkwy, Riverside, RI 02915 | 2012-04-19 |
| 1790051977 | Daniel Moreno De Luca | Psychiatry & Neurology | 1011 Veterans Memorial Pkwy, Riverside, RI 02915 | 2012-04-01 |
| 1487947958 | John Dax Lindo | Psychiatry & Neurology | 4095 County Circle Dr, Riverside, CA 92503-3410 | 2011-05-17 |
| 1457643355 | Kang Won Mathew Choi | Psychiatry & Neurology | 2085 Rustin Ave, Riverside, CA 92507-2498 | 2011-05-10 |
| 1003106360 | Justyna Piasecka | Psychiatry & Neurology | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2011-04-07 |
| 1386958346 | Shannon Lindsay Terkell | Psychiatry & Neurology | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2010-08-02 |
| Find all providers in RIVERSIDE | ||||
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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.