DR. ELLEN KENNER (NPI# 1588730311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588730311 |
| Entity Type | Individual |
| Full Name | DR. ELLEN KENNER |
| Credential | PH.D. |
| Practice Address |
51 Jefferson Blvd Suite 400 Warwick RI 02888-1002 |
| Practice Telephone | 4017850683 |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS00514 | RI | Behavioral Health & Social Service Providers |
| Street Address |
51 JEFFERSON BLVD SUITE 400 |
| City | WARWICK |
| State | RI |
| Zip Code | 02888-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639644164 | Paul J Rocchio | Counselor | 2020 Elmwood Avenue Bridgemark, Inc., Warwick, RI 02888 | 2018-10-11 |
| 1184147811 | Alyssa Campagnone | Optometrist | 222 Jefferson Blvd Fl 3, Warwick, RI 02888 | 2017-07-25 |
| 1215204698 | Nicolette Fraza | Dietitian, Registered | 37 General Hawkinds Dr, Warwick, RI 02888 | 2011-11-29 |
| 1043431042 | Double Vision Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1168 Warwick Ave, Warwick, RI 02888 | 2007-05-01 |
| 1205059037 | Richard Mark Goldenberg | Dentist | 708 Warwick Avenue, Warwick, RI 02888 | 2007-04-10 |
| 1558486068 | Richard Michael Bello | Optometrist | 1168 Warwick Avenue, Warwick, RI 02888 | 2007-03-21 |
| 1407997687 | Michael M Gooding | Dentist | 1422 Warwick Avenue, Warwick, RI 02888 | 2007-02-09 |
| 1528109246 | Kristie A. Ervanian | Counselor | 1087 Warwick Ave Rear Unit, Warwick, RI 02888 | 2007-02-08 |
| 1457417883 | Eugene Milton Dandrea | Psychologist | 1434 Warwick Avenue, Warwick, RI 02888 | 2006-12-29 |
| 1689750044 | Lucille C Vega | Family Medicine | 962 Warwick Avenue, Warwick, RI 02888 | 2006-10-28 |
| Find all providers in zip 02888 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629266226 | Tracy M Townsend | Psychologist | 931 Jefferson Blvd, Warwick, RI 02886-2234 | 2007-10-09 |
| 1962604439 | Sondra M Tuckfelt | Psychologist | 56 Sleepy Valley Rd, Warwick, NY 10990-2717 | 2007-06-05 |
| 1518080167 | Richard Vinacco Jr. | Psychologist | 57 Gillan Ave, Warwick, RI 02886-3105 | 2007-04-09 |
| 1003957283 | Norman Charles Dupont | Psychologist | 26 Janet Drive, Warwick, RI 02886-7424 | 2007-02-09 |
| 1881747871 | Julie Lucier | Psychologist | 3296 Post Rd Ste 2a, Warwick, RI 02886-7131 | 2007-01-21 |
| 1265584973 | Joseph Roman | Psychologist | 210 Ronald Reagan Blvd, Warwick, NY 10990-4107 | 2007-01-16 |
| 1497363105 | Miranda Icart | Psychologist | 400 Bald Hill Rd, Warwick, RI 02886-1617 | 2020-07-20 |
| 1386200558 | Sharaya Mcfadden | Psychologist | 400 Bald Hill Rd Ste 530, Warwick, RI 02886-6111 | 2019-05-14 |
| 1538535034 | Mary Ellen Tillotson | Psychologist | 15 Aspen Way, Warwick, RI 02886-5006 | 2015-08-19 |
| 1376952317 | Jessica Grace Reid | Psychologist | 400 Bald Hill Rd Ste 530, Warwick, RI 02886-6111 | 2014-08-04 |
| Find all providers in WARWICK | ||||
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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.