QUETZAL ASSOCIATES, INC. (NPI# 1720444193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720444193 |
| Entity Type | Organization |
| Organization Name | QUETZAL ASSOCIATES, INC. |
| Other Organization Name | KRISTIE PUSTER, PH.D. AND JOSEPH BERRYHILL, PH.D. |
| Practice Address |
1445 Wampanoag Trl Suite 106 Riverside RI 02915-1000 |
| Mailing Address |
21 Carpenter Ave Barrington RI 02806-2005 |
| Practice Telephone | 4019032413 |
| Practice Fax Number | 4012890297 |
| Mailing Telephone | 4019032413 |
| Mailing Fax Number | 4012890297 |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |
| Authorized Official Name | DR. KRISTIE PUSTER (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 4019032413 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | PSO1360 | RI | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | PS01332 | RI | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Kristie Puster, Ph.D. and Joseph Berryhill, Ph.D. | Other Name - Individual/Organization |
| Street Address |
1445 WAMPANOAG TRL SUITE 106 |
| City | RIVERSIDE |
| State | RI |
| Zip Code | 02915-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619518594 | Joshua David Bennett | Marriage & Family Therapist | 1445 Wampanoag Trl, Riverside, RI 02915-1000 | 2019-10-02 |
| 1316217920 | Family Doctors Group, PC | Family Medicine | 1445 Wampanoag Trl, Suite 205, Riverside, RI 02915-1000 | 2012-01-12 |
| 1457643348 | Gina Marie Iaciofano | Social Worker | 1445 Wampanoag Trl, Suite 106, Riverside, RI 02915-1000 | 2011-05-10 |
| 1205162997 | Wendy Renee Taylor | Counselor | 1445 Wampanoag Trl, Riverside, RI 02915-1000 | 2009-10-30 |
| 1063745552 | Rebecca Ayer Lennahan | Registered Nurse | 1445 Wampanoag Trl, Riverside, RI 02915-1000 | 2009-09-15 |
| 1215166467 | Dr Paul Appelbaum | Dentist | 1445 Wampanoag Trl, 209, Riverside, RI 02915-1000 | 2009-07-09 |
| 1346348570 | Paul E Appelbaum | Dentist | 1445 Wampanoag Trl, Riverside, RI 02915-1000 | 2006-09-20 |
| 1427078575 | Pamela A Lowell | Social Worker | 1445 Wampanoag Trl, Riverside, RI 02915-1000 | 2006-07-20 |
| 1245267509 | Family Doctors of East Providence, Inc. | Legal Medicine | 1445 Wampanoag Trl, Unit 205, Riverside, RI 02915-1000 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881101335 | Brown Medicine | Clinic/Center | 62-68 Amaral Street, East Providence, RI 02915 | 2018-01-05 |
| 1093245391 | Robyn Lee Cranson | Pharmacist | 1086 Willet Ave, Rite Aid Pharmacy, Riverside, RI 02915 | 2017-06-19 |
| 1548703622 | Rebecca Leigh Bejma | Registered Nurse | 100 Bullocks Ave, East Providence, RI 02915 | 2016-11-22 |
| 1568833408 | Riverside Smiles Theodore I Goldberg, Dmd PC & Associates | Dentist | 250 Wampanoag Trail Suite 103, Riverside, RI 02915 | 2015-10-19 |
| 1003165796 | Sandra Cairo | Registered Nurse | 125 Bayview Ave, Riverside, RI 02915 | 2012-09-10 |
| 1487916136 | East Bay Community Action Program | Peer Specialist | 100 Bullocks Point, Riverside, RI 02915 | 2012-06-08 |
| 1497041453 | Bethany Marie Goldberg | Nurse Practitioner | 38 Amaral Street, Riverside, RI 02915 | 2011-06-28 |
| 1790078947 | Matthew Lynch | Internal Medicine | 375 Wampanoag Trl Ste 302a, Riverside, RI 02915 | 2011-05-20 |
| 1679866206 | Jill Stone | Occupational Therapist | 57 Euclid Ave, East Providence, RI 02915 | 2011-05-16 |
| 1770884462 | Kristin F. Cadieux | Nurse Practitioner | 375 Wampanoag Trl Ste 102, Riverside, RI 02915 | 2010-11-11 |
| Find all providers in zip 02915 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093120669 | Tressita L Morales | Psychologist | 4080 Lemon St, Riverside, CA 92501-3609 | 2014-06-23 |
| 1235482290 | Loide M Lopes | Psychologist | 3048 Pawtucket Ave, Apt.102, Riverside, RI 02915-5051 | 2012-10-16 |
| 1326337338 | Sally Dhahbi | Psychologist | 6956 Indiana Ave, Ste 6, Riverside, CA 92506-4109 | 2011-03-30 |
| 1255651329 | Laureen Anne Lester | Psychologist | 2020 Iowa Ave, Riverside, CA 92507-0520 | 2010-06-10 |
| 1568516797 | Marian Joyce Parker | Psychologist | 17675 Van Buren Blvd Ste A, Riverside, CA 92504-6076 | 2007-01-23 |
| 1891868808 | Antonette Marie Zulli | Psychologist | 6117 Brockton Ave, Suite 207, Riverside, CA 92506 | 2006-11-16 |
| 1194812016 | Laurel Gray Coman | Psychologist | 10182 Indiana Ave, Tyler Village Wellness & Recovery Clinic, Riverside, CA 92503-5304 | 2006-10-10 |
| 1922191592 | Diana M Fulmer | Psychologist | 5790 Magnolia Ave #202, Riverside, CA 92506-1874 | 2006-10-02 |
| 1164526232 | Kathryn Virginia Mantz | Psychologist | 5887 Brockton Ave, Riverside Psychiatric Medical Group Ste A, Riverside, CA 92506 | 2006-09-11 |
| 1881704864 | Luis A. Zapata | Psychologist | 1033 Chekhov Dr, Riverside, CA 92506-4904 | 2006-08-30 |
| Find all providers in RIVERSIDE | ||||
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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.