ANDREW STARK PRESTON (NPI# 1558501585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558501585 |
| Entity Type | Individual |
| Full Name | ANDREW STARK PRESTON |
| Credential | PH.D. |
| Practice Address |
50 Maude St Elmhurst, 5th Floor Providence RI 02908-4325 |
| Practice Telephone | 4014566587 |
| Practice Fax Number | 4014562399 |
| Mailing Telephone | 4014566587 |
| Mailing Fax Number | 4014562399 |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2009-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PS01094 | RI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790096436 | Andrew James Preston | Psychologist | 1815 Bacons Bridge Rd Apt B12, Summerville, SC 29485-3258 | 2010-06-28 |
| 1730213737 | Andrew Allen Preston | Marriage & Family Therapist | 100 E Wardlow Rd, Long Beach, CA 90807-4417 | 2007-03-14 |
| Street Address |
50 MAUDE ST ELMHURST, 5TH FLOOR |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02908-4325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013901248 | Daniel N Valicenti | Internal Medicine | 50 Maude St, 4th Floor, Providence, RI 02908-4325 | 2005-09-02 |
| 1871063891 | Integrated Wound Care Rhode Island Pllc | General Practice | 50 Maude St, Providence, RI 02908-4325 | 2018-12-03 |
| 1811402100 | Prospect Chartercare Home Health and Hospice, LLC | Registered Nurse | 50 Maude St, Providence, RI 02908-4325 | 2017-12-07 |
| 1871947093 | Samantha Mossman | Dietitian, Registered | 50 Maude St, Roger Willaims Oncology Center, Providence, RI 02908-4325 | 2016-04-14 |
| 1841679503 | Rui Cheng | Dermatology | 50 Maude St, Providence, RI 02908-4325 | 2015-05-27 |
| 1437544111 | Prospect Chartercare Physicians LLC | Clinic/Center | 50 Maude St, Providence, RI 02908-4325 | 2015-03-31 |
| 1083012173 | New University Medical Group LLC | Internal Medicine | 50 Maude St, Providence, RI 02908-4325 | 2014-12-05 |
| 1912322918 | Prospect Chartercare Rwmc, LLC | Home Health | 50 Maude St, Providence, RI 02908-4325 | 2014-02-27 |
| 1457776452 | Prospect Chartercare Elmhurst, LLC | Skilled Nursing Facility | 50 Maude St, Providence, RI 02908-4325 | 2014-02-27 |
| 1942634407 | Shareen Holly | Psychologist | 50 Maude St, Elmhurst Extended Bldg, 5th Fl, Providence, RI 02908-4325 | 2013-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771900 | Horizon Wellness | Clinic/Center | 1339 Smith St, North Providence, RI 02908 | 2017-10-12 |
| 1477098069 | Beth Perry | Nurse Practitioner | 830 Chalstone Ave., Providence, RI 02908 | 2017-01-05 |
| 1659788735 | Brandi Kimble | Podiatrist | 825 Chalkstone Avenue, Providence, RI 02908 | 2014-07-21 |
| 1912253675 | Roger Williams Medical Center | Long Term Care Hospital | 25 Chalkstone Ave, Providence, RI 02908 | 2012-07-31 |
| 1669768818 | Elisa Semedo | Physical Therapist | 285 Promenade Street, Providence, RI 02908 | 2011-06-27 |
| 1255655502 | Caregiver Homes of Rhode Island Inc. | Custodial Care Facility | 235 Promenade Street, Providence, RI 02908 | 2010-03-16 |
| 1487884987 | Professional Ambulance LLC | Ambulance | 52 River Ave, Providence, RI 02908 | 2009-07-17 |
| 1609065804 | Stephen W Davis | Family Medicine | 299 Promenade Street, Nhpri, Providence, RI 02908 | 2007-10-24 |
| 1205053899 | John R Ricci | Dentist | 1252 Smith St, Providence, RI 02908 | 2007-04-18 |
| 1871718718 | Brett C Auclaire | Nurse Practitioner | 40 Candace Street, Providence, RI 02908 | 2007-04-16 |
| Find all providers in zip 02908 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689299661 | Laura Elizabeth Korthauer Gilmour | Clinical Neuropsychologist | 110 Lockwood St Ste 430, Providence, RI 02903-4815 | 2020-06-15 |
| 1992339501 | Carmen G Armengol | Clinical Neuropsychologist | 58 Rochambeau Ave, Providence, RI 02906-1908 | 2020-02-24 |
| 1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
| 1902329667 | Neuroperformance Group, L.l.c | Clinical Neuropsychologist | Two Regency Plaza, Suite 3, Providence, RI 02903 | 2017-07-24 |
| 1871856484 | Rachel K Baldwin | Clinical Neuropsychologist | 355 Hope Street, 2nd Floor, Unit 6, Providence, RI 02906 | 2012-06-19 |
| 1932338951 | Melissa Perkins-banas | Clinical Neuropsychologist | 260 W Exchange St Ste 210, Providence, RI 02903-1000 | 2009-07-12 |
| 1578570735 | Steven J. Hirsch | Clinical Neuropsychologist | 1 Richmond Sq Ste 104c, Providence, RI 02906-5154 | 2006-08-01 |
| 1508485301 | Brian Charles Castelluccio | Clinical Neuropsychologist | 345 Blackstone Blvd, Providence, RI 02906-4800 | 2020-04-11 |
| 1770130692 | Louisa Isoud Thompson | Clinical Neuropsychologist | 345 Blackstone Blvd Ste 2, Providence, RI 02906-4829 | 2019-08-26 |
| 1336608843 | Sarah Catherine Pillemer | Clinical Neuropsychologist | 146 W River St Ste 11a, Providence, RI 02904-2609 | 2019-03-14 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02908 |
Please comment or provide details below to improve the information on ANDREW STARK PRESTON.
| 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.