NICHOLAS ALEXANDER BOTTELLA (NPI# 1801354568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801354568 |
| Entity Type | Individual |
| Full Name | NICHOLAS ALEXANDER BOTTELLA |
| Credential | LCDP |
| Practice Address |
2756 Post Rd. Warwick RI 02886 |
| Practice Telephone | 4016916000 |
| Practice Fax Number | 4016913398 |
| Mailing Telephone | 4016916000 |
| Mailing Fax Number | 4016913398 |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDP00777 | RI | Behavioral Health & Social Service Providers |
| Street Address |
2756 POST RD. |
| City | WARWICK |
| State | RI |
| Zip Code | 02886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154432698 | Laura J. Scussel | Social Worker | 2756 Post Rd., Warwick, RI 02886 | 2006-08-31 |
| 1023653649 | Jerome Musco Jr. | Social Worker | 2756 Post Rd., Warwick, RI 02886 | 2019-11-07 |
| 1467006734 | Maria L Schmidt | Counselor | 2756 Post Rd., Warwick, RI 02886 | 2019-07-25 |
| 1043770894 | Jenna O'brien | Registered Nurse | 2756 Post Rd., Warwick, RI 02886 | 2019-03-20 |
| 1225454457 | Mary Kenney | Registered Nurse | 2756 Post Rd., Warwick, RI 02886 | 2014-03-12 |
| 1437437001 | Carris M. Transue | Social Worker | 2756 Post Rd., Warwick, RI 02886 | 2011-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694445 | Sheri Lynn Sklarz | Specialist | 300 Quaker Lane, Miracle Ear Suite C15, Warwick, RI 02886 | 2020-03-23 |
| 1316581424 | Dr. Degiulio & Associates Inc | Optometrist | 400 Bald Hill Road Ste 163, Warwick Mall, Warwick, RI 02886 | 2019-10-31 |
| 1255813291 | Samantha Pena Moore | Behavioral Analyst | 3446 Post Road, Warwick, RI 02886 | 2018-09-06 |
| 1912496209 | Martin Jude Cotti | Internal Medicine | 455 Toll Gate Rd., Warwick, RI 02886 | 2018-05-02 |
| 1447764261 | Cynthia A Lessard | Nurse Practitioner | 15 Health Lane, Warwick, RI 02886 | 2017-12-01 |
| 1538687520 | David A. Bennett | Registered Nurse | 2756 Post Road, Warwick, RI 02886 | 2017-08-30 |
| 1427585223 | Brittany Teixeira | Counselor | 85 Earl Street, Warwick, RI 02886 | 2017-05-11 |
| 1497125199 | Aiden Philip Cwynar | Optometrist | 1050 Centerville Road, Warwick, RI 02886 | 2015-10-07 |
| 1104221738 | Wilfredo L Sancianco Dmd Inc | Preferred Provider Organization | 3411 W Shiore Rd, Warwick, RI 02886 | 2014-10-24 |
| 1831508662 | Matthew Bryant Mitchell | Physical Therapist | 400 Bald Hill Rd #511, Warwick, RI 02886 | 2014-08-06 |
| Find all providers in zip 02886 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205479755 | Madisson A Catanzaro | Counselor | 400 Bald Hill Rd Ste 517, Warwick, RI 02886-6100 | 2019-10-28 |
| 1639644164 | Paul J Rocchio | Counselor | 2020 Elmwood Avenue Bridgemark, Inc., Warwick, RI 02888 | 2018-10-11 |
| 1861909574 | Toni Schmeider | Counselor | 451 Pequot Ave, Warwick, RI 02889-9739 | 2018-01-03 |
| 1497274518 | Jennifer Palo | Counselor | 55 Opper Ave, Warwick, RI 02889-2744 | 2017-09-11 |
| 1295123511 | Lindsay Mckinnon | Counselor | 114 Green River Ave, Warwick, RI 02889-3326 | 2015-01-09 |
| 1861734063 | Lance C Mccormack | Counselor | 1845 Post Rd. Suite #10n, Warwick, RI 02886 | 2013-03-26 |
| 1417237124 | Patricia Helen Quinn | Counselor | 199 Kings Hwy, Suite 200, Warwick, NY 10990-3412 | 2011-08-25 |
| 1104114677 | Allison Flynn | Counselor | 205 Hallene Rd Unit 102, Warwick, RI 02886-2451 | 2011-07-18 |
| 1922120914 | Victoria Ann Fackos | Counselor | Robert A Walker and Associates, Counseling and Consulti, 1087 Warwick Ave Rear Unit, Warwick, RI 02888-3545 | 2007-04-03 |
| 1518085505 | Norhteast Behavioral Associates | Counselor | 2348 Post Rd Ste 107, Warwick, RI 02886-2271 | 2007-03-27 |
| 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.