DR. BRIAN KAVANAUGH (NPI# 1851752521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851752521 |
| Entity Type | Individual |
| Full Name | DR. BRIAN KAVANAUGH |
| Credential | PSYD |
| Practice Address |
1011 Veterans Memorial Pkwy Riverside RI 02915-5061 |
| Practice Telephone | 4014321359 |
| Mailing Telephone | 4014321359 |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2016-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PS01545 | RI | Behavioral Health & Social Service Providers |
| Street Address |
1011 VETERANS MEMORIAL PKWY |
| City | RIVERSIDE |
| State | RI |
| Zip Code | 02915-5061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104803535 | Noha Sadek | Psychiatry & Neurology | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2005-12-28 |
| 1982210977 | Rachel Weitz | Nurse Practitioner | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2020-09-16 |
| 1558975490 | Brianna Marie Daniele | Social Worker | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2020-09-08 |
| 1720602410 | Sarah Herrick Morris | Psychologist | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2020-05-29 |
| 1427671379 | Marykate Oakley | Psychologist | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2020-05-27 |
| 1295357432 | Donna Lee Brady | Social Worker | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2020-05-11 |
| 1871113001 | Erin Elizabeth O'connor | Psychologist | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2020-04-17 |
| 1396373478 | Virginia Marie Newcomb | Counselor | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2020-04-01 |
| 1679111926 | Jamie Amanda Turcotte | Counselor | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5099 | 2019-12-17 |
| 1083259576 | Theresa A'vant-antonio | Occupational Therapist | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2019-11-08 |
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| 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 | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205098068 | Michael B Cao | Clinical Neuropsychologist | 19314 Jesse Ln Ste 200, Riverside, CA 92508-5070 | 2008-07-01 |
| 1699892166 | Irwin Savodnik, M.d. & Medical Associates, Inc. | Clinical Neuropsychologist | 4000 14th St Ste 405, Riverside, CA 92501-4010 | 2007-03-22 |
| 1639469257 | Keith L. Drieberg | Clinical Neuropsychologist | 4500 Riverwalk Pkwy, Riverside, CA 92503 | 2011-04-16 |
| 1790889863 | Antonius D Brandon | Clinical Neuropsychologist | 5887 Brockton Ave, Riverside Psychiatric Medical Group Ste A, Riverside, CA 92506 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689299661 | Laura Elizabeth Korthauer Gilmour | Clinical Neuropsychologist | 110 Lockwood St Ste 430, Providence, RI 02903-4815 | 2020-06-15 |
| 1992339501 | Carmen G Armengol | Clinical Neuropsychologist | 58 Rochambeau Ave, Providence, RI 02906-1908 | 2020-02-24 |
| 1689140121 | Ef Advantage LLC | Clinical Neuropsychologist | 989 Reservoir Ave Ste 4, Cranston, RI 02910-5137 | 2018-10-23 |
| 1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
| 1679064935 | Marlana Joyce Borgos | Clinical Neuropsychologist | 10 Howland Farm Rd, East Greenwich, RI 02818-2651 | 2018-05-22 |
| 1902329667 | Neuroperformance Group, L.l.c | Clinical Neuropsychologist | Two Regency Plaza, Suite 3, Providence, RI 02903 | 2017-07-24 |
| 1871856484 | Rachel K Baldwin | Clinical Neuropsychologist | 355 Hope Street, 2nd Floor, Unit 6, Providence, RI 02906 | 2012-06-19 |
| 1932338951 | Melissa Perkins-banas | Clinical Neuropsychologist | 260 W Exchange St Ste 210, Providence, RI 02903-1000 | 2009-07-12 |
| 1114146958 | Barbara Ann Baron | Clinical Neuropsychologist | 175 Progress St, Lincoln, RI 02865-3015 | 2007-04-24 |
| 1275668006 | East Bay Neurology Professional Corporation | Clinical Neuropsychologist | 333 School St Ste 216, Pawtucket, RI 02860 | 2007-02-22 |
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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.