DENISE J DISAIA


Address: 160 Narragansett Ave, Providence, RI 02907-3367
Phone: 4014914488

DENISE J DISAIA (NPI# 1760032734) 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) 1760032734
Entity Type Individual
Full Name DENISE J DISAIA
Credential LDCS
Practice Address 160 Narragansett Ave
Providence
RI 02907-3367
Practice Telephone 4014914488
Practice Fax Number 4019419797
Mailing Telephone 4019414488
Mailing Fax Number 4019419797
Enumeration Date 2019-09-12
Last Update Date 2019-09-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
CDP00403 RI Behavioral Health & Social Service Providers

Office Location

Street Address 160 NARRAGANSETT AVE
City PROVIDENCE
State RI
Zip Code 02907-3367

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NPI Name Taxonomy Address Enumeration
1851506091 Providence Metro Treatment Center Pharmacy 160 Narragansett Ave, Providence, RI 02907-3367 2007-05-11
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1235689522 Whitney Ann Hall Counselor 160 Narragansett Ave, Providence, RI 02907-3367 2016-10-11
1871049742 Alexis Mcmahon Counselor 160 Narragansett Ave, Providence, RI 02907-3367 2016-08-30

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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 02907

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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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