MRS. KATHRYN ELLEN MCCULLOUGH


Address: 825 Chalkstone Ave, Providence, RI 02908-4728
Phone: 4014562000

MRS. KATHRYN ELLEN MCCULLOUGH (NPI# 1578014098) 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) 1578014098
Entity Type Individual
Full Name MRS. KATHRYN ELLEN MCCULLOUGH
Credential LCSW
Practice Address 825 Chalkstone Ave
Providence
RI 02908-4728
Mailing Address 120 Roth Rd
Dayville
CT 06241-1416
Practice Telephone 4014562000
Practice Fax Number 4014566744
Mailing Telephone 4014562000
Mailing Fax Number 4014566744
Enumeration Date 2016-10-19
Last Update Date 2016-10-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
CSW1628 RI Behavioral Health & Social Service Providers

Other Providers KATHRYN MCCULLOUGH

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1205452141 Kathryn Mccullough Nurse Practitioner 1253 S Flower Cir Apt A, Lakewood, CO 80232-2025 2020-06-16
1184145104 Kathryn Mccullough Dentist 8011 Meridian Park Dr, Peyton, CO 80831-8128 2017-06-29
1558542779 Kathryn M Mccullough Optometrist 3929 N Gloster St, Tupelo, MS 38804-0915 2007-11-15

Office Location

Street Address 825 CHALKSTONE AVE
City PROVIDENCE
State RI
Zip Code 02908-4728

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467459263 Ritesh Rathore Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2005-07-07
1821698903 Afsana Jahan Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-10-28
1861090508 Anthony Joseph Paoletta Social Worker 825 Chalkstone Ave, Providence, RI 02908-4728 2020-10-14
1255941720 Georgio Medawar Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-08-08
1265042733 Jessica Khoury Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-08-08
1215547617 Amy Remillard Social Worker 825 Chalkstone Ave, Providence, RI 02908-4728 2020-07-31
1225647738 Abdallah Mohamed Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-07-30
1467061309 Catherine Ekladios Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-07-27
1982213948 Jamal Al Ali Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-07-27
1811506793 Sadollah Ghasempour Soleymani Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-07-27
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477100808 Raisa Emilia Garcia-diaz Counselor 66 Pavilion Avenue, Providence, RI 02905 2019-08-21
1952873317 Better Care Transport LLC Counselor 448 Public St, Providence, RI 02907-1223 2018-12-26
1407234172 David Lee Russell Jr. Counselor 60 Comstock Ave, Providence, RI 02907-1206 2015-05-13
1558755082 Souad Cheteyan Counselor 315 Mount Pleasant Ave, Providence, RI 02908-3836 2015-03-23
1588081533 Nicole Ann Hutto Counselor 20 Vandieman Ave, Providence, RI 02909-5560 2014-03-27
1396050597 Daniel D Strother Counselor 66 Pavilion Ave., Providence, RI 02905 2010-08-11
1902137748 Lux Maria Taylor Counselor 662 Hartford Ave, Providence, RI 02909-5917 2010-01-19
1780805283 Marcel A Trisvan Counselor Codac Providence, 349 Huntington Ave, Providence, RI 02909 2007-05-01
1316063829 Digna Marrero Counselor 16 Borinquen St, 662 Hartford Ave., Providence, RI 02905-3202 2007-03-22
1467554634 George Edward Benedict Counselor Providence Vamc, 830 Chalkstone Avenue, Providence, RI 02908-4799 2006-09-01
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Competitor

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City PROVIDENCE
Zip Code 02908

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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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