CHARLES DOUGLAS WUNDERLER-SELBY (NPI# 1518184571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518184571 |
| Entity Type | Individual |
| Full Name | CHARLES DOUGLAS WUNDERLER-SELBY |
| Credential | R.N. |
| Practice Address |
55 Cherry Lane Wakefield RI 02879 |
| Practice Telephone | 4013647705 |
| Practice Fax Number | 4017896744 |
| Mailing Telephone | 4013647705 |
| Mailing Fax Number | 4017896744 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
RI43756 | RI | Nursing Service Providers |
| Street Address |
55 CHERRY LANE |
| City | WAKEFIELD |
| State | RI |
| Zip Code | 02879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518184522 | Keeley Therese Dante-card | Registered Nurse | 55 Cherry Lane, Wakefield, RI 02879 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831549435 | Bh Brightview Commons Opco, LLC | Alzheimer Center (Dementia Center) | 57 Grandeville Court, Wakefield, RI 02879 | 2016-06-15 |
| 1215392071 | Leslie Healy | Occupational Therapist | 12 Galleon Ct, Wakefield, RI 02879 | 2015-12-22 |
| 1649673799 | Peter Storti | Clinic/Center | 28 Columbia Street, Wakefield, RI 02879 | 2014-10-03 |
| 1285988790 | Silver Spring Health Care Management, Inc. | Physician Assistant | 70 Kenyon Ave Unit 321, Wakefield, RI 02879 | 2012-11-06 |
| 1013271584 | Amy Lee Barker | Speech-Language Pathologist | 213 Robinson Street, Wakefield, RI 02879 | 2012-06-29 |
| 1366708489 | Paige Houlihan | Student in an Organized Health Care Education/Training Program | 91 Rocky Brook Way St, Wakefield, RI 02879 | 2012-04-03 |
| 1639307176 | Perspectives Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 53 Dockray Street, Wakefield, RI 02879 | 2009-06-23 |
| 1649482233 | Marilyn A. Cooney | Speech-Language Pathologist | 307 Curtis Corner Road, Wakefield, RI 02879 | 2007-05-04 |
| 1679799217 | Codac Inc | Peer Specialist | 350 Columbia St, Codac South County, Wakefield, RI 02879 | 2007-04-18 |
| 1336261171 | Paul D Cashion | Dentist | 45 Patton Ave, Wakefield, RI 02879 | 2007-04-04 |
| Find all providers in zip 02879 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376569285 | Maureen Frances Galvin-nadeau | Registered Nurse | 1 W Water St, Suite 201, Wakefield, MA 01880-2907 | 2006-07-14 |
| 1770614703 | Joanne Kenyon | Registered Nurse | 55 Cherry Ln, Wakefield, RI 02879-3617 | 2007-03-09 |
| 1871624718 | Brenda L Johnson | Registered Nurse | 55 Cherry Ln, Wakefield, RI 02879-3617 | 2007-03-09 |
| 1134284805 | Diane P Hall | Registered Nurse | 24 Salt Pond Rd, H-3, Wakefield, RI 02879-4314 | 2006-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958870 | Melissa Marie Spillane | Registered Nurse | 7 Wake Robin Rd Unit 412, Lincoln, RI 02865-5211 | 2020-09-29 |
| 1982735924 | Karen Golish | Registered Nurse | 7211 Post Rd, North Kingstown, RI 02852-3243 | 2007-03-09 |
| 1467583690 | Sylvia Weber Associates Inc | Registered Nurse | 84 Shaw Avenue, Cranston, RI 02905-3823 | 2007-03-08 |
| 1730223744 | Nancy Salibi | Registered Nurse | 27 Sunderland Hts, Tiverton, RI 02878-4228 | 2007-02-16 |
| 1063597466 | Elinor M Collins | Registered Nurse | 50 Maude Street, Providence, RI 02908 | 2006-10-25 |
| 1861447831 | Cynthia Pominville Longway | Registered Nurse | 250 Eddie Dowling Hwy, Unit # 6, North Smithfield, RI 02896-8228 | 2006-05-24 |
| 1932199858 | Cristiana Morena Ritwik | Registered Nurse | 747 Pontiac Ave, Ste 214, Cranston, RI 02910-5825 | 2005-10-21 |
| 1750370920 | Lisa M. Marenaro | Registered Nurse | 410 Tiogue Avenue, Coventry, RI 02816 | 2005-10-19 |
| 1902447576 | Margaret Gayle Barrett | Registered Nurse | 360 Duncan Dr, Providence, RI 02906-7003 | 2019-10-03 |
| 1104395219 | Judith Salome | Registered Nurse | 530 N Main St, Providence, RI 02904-5762 | 2018-11-19 |
| Find all providers with the same taxonomy | ||||
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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.