DR. LISA GAUMOND (NPI# 1659814846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659814846 |
| Entity Type | Individual |
| Full Name | DR. LISA GAUMOND |
| Credential | PHD |
| Practice Address |
249 Roosevelt Ave Pawtucket RI 02860-2134 |
| Practice Telephone | 4017248400 |
| Mailing Telephone | 4017248400 |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| Street Address |
249 ROOSEVELT AVE |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02860-2134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324101 | Gateway Healthcare, Inc | Case Management | 249 Roosevelt Ave, Unit 205, Pawtucket, RI 02860-2134 | 2005-05-23 |
| 1487267449 | Silifat Adedayo Ainabe | Clinic/Center | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2020-08-28 |
| 1093379190 | Carla Justiniano | Social Worker | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2019-04-24 |
| 1467915561 | Haleigh O'brien | Social Worker | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2019-04-08 |
| 1235614769 | Alim Hos | Counselor | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2018-10-01 |
| 1982193884 | Angela Gallo | Social Worker | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2018-05-07 |
| 1033607072 | Jennifer M Pelkey | Counselor | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2018-04-25 |
| 1801323910 | Jenna Petrucci | Counselor | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2017-05-19 |
| 1942736855 | Briana Ransford | Counselor | 249 Roosevelt Ave, Suite 205, Pawtucket, RI 02860-2134 | 2017-05-11 |
| 1275071409 | Wanda M Angel | Social Worker | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2017-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972096923 | Lmb Medical LLC | Internal Medicine | 127 School St, Pawtucket, RI 02860 | 2018-06-13 |
| 1215420435 | Tyla Jackson | Behavior Technician | 70 Wood St Apt 22, Pawtucket, RI 02860 | 2018-06-12 |
| 1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
| 1730690488 | Anthony Edwin Ramicone | Physician Assistant | 407 East Ave Ste 120, Pawtucket, RI 02860 | 2017-10-21 |
| 1669991352 | Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC | Clinic/Center | 407 East Ave; Suite 110, Pawtucket, RI 02860 | 2017-09-13 |
| 1841716230 | Ri Alternative Academy Management, LLC | Local Education Agency (LEA) | 249 Roosevelt Avenue, Pawtucket, RI 02860 | 2017-08-17 |
| 1396265724 | Hannah R Stoops | Family Medicine | 111 Brewster St Fcc A, Pawtucket, RI 02860 | 2017-06-27 |
| 1427578400 | Shaun Michael Flynn | Family Medicine | 111 Brewster St, Fcc A, Pawtucket, RI 02860 | 2017-06-21 |
| 1073051843 | Laura Jane Amaral | Counselor | 750 East Ave Unit 1e, Pawtucket, RI 02860 | 2017-02-01 |
| 1063862027 | Stephanie Shoppell | Counselor | 105 Bacon Street, Pawtucket, RI 02860 | 2016-06-20 |
| Find all providers in zip 02860 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346615614 | Sabater Laboratory for Psychological Innovations, Inc | Psychologist | 255 Main St, Suite 206, Pawtucket, RI 02860-4064 | 2015-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023507 | Lauren Ziady | Psychologist | 9 Mallard Way, East Greenwich, RI 02818-1381 | 2020-05-06 |
| 1366919797 | Mary Putera | Psychologist | 216 Plain Rd, West Greenwich, RI 02817 | 2018-10-24 |
| 1366933970 | Rose Josephine Perkins | Psychologist | 11 Macintosh Dr, Greenville, RI 02828-1135 | 2018-05-21 |
| 1205325149 | Peter Mullen | Psychologist | 5 Andrew St, Newport, RI 02840-4301 | 2018-05-07 |
| 1508028234 | Allyson Brathwaite-gardner | Psychologist | One Richmond Square, Suite 154e, Providence, RI 20904 | 2008-06-25 |
| 1467619544 | Shauna E. Summers | Psychologist | 250 Wampanoag Trl Ste 303, Riverside, RI 02915-2217 | 2008-05-17 |
| 1104024066 | Joseph J Guido | Psychologist | Providence College, 549 River Avenue, Providence, RI 02918-0001 | 2007-07-03 |
| 1881737658 | Virginia Mary Spaulding | Psychologist | 54 Malbone Rd, Newport, RI 02840-1746 | 2007-02-14 |
| 1013952043 | Thomas J. Lavin IIi | Psychologist | 42 Westwood Ave, Rumford, RI 02916-1623 | 2006-06-16 |
| 1265914477 | Ocean State Counseling and Wellness Center | Psychologist | 1395 Atwood Ave, Suite 206, Johnston, RI 02919-4931 | 2018-09-04 |
| 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.