MARY KATHRYN CANCILLIERE


Address: 25 Charles St, Barrington, RI 02806-3907
Phone: 4017438904

MARY KATHRYN CANCILLIERE (NPI# 1891329934) 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) 1891329934
Entity Type Individual
Full Name MARY KATHRYN CANCILLIERE
Credential MA/MS
Practice Address 25 Charles St
Barrington
RI 02806-3907
Practice Telephone 4017438904
Enumeration Date 2020-02-27
Last Update Date 2020-02-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
Behavioral Health & Social Service Providers

Office Location

Street Address 25 CHARLES ST
City BARRINGTON
State RI
Zip Code 02806-3907

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1396814703 Cynthia J Jones Counselor 750 East Avenue, Pawtucket, RI 02806 2006-11-07
1043393176 Hollis Vale Burkhart Counselor 60 Bay Spring Ave., Pathways Wellness Center Suite B1, Barrington, RI 02806 2006-10-23
1811085426 Dr Diane E King Md Inc Psychiatry & Neurology 233 Waseca Ave, Barrington, RI 02806 2006-10-10
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

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1972843530 Christine Elizabeth Mcauliffe Psychologist 93 Tower Street, Westerly, RI 02891 2013-02-19
1548381247 Steven - Colucci Psychologist 215 Pinecrest Dr, North Kingstown, RI 02852-5909 2007-04-02
1942367412 Natalia Duke Mieczynski Psychologist 1011 Veterans Memorial Parkway, Emma Pendleton Bradley Hospital, East Providence, RI 02915-5061 2007-01-03
1659382315 Northeast Behavioral Associates Psychologist 744 Park Ave, Suite 6, Cranston, RI 02910-2150 2006-08-10
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1427671379 Marykate Oakley Psychologist 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 2020-05-27
1245881002 Katelyn Affleck Psychologist 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5099 2019-09-24
1255981247 Preeti Sandhu Psychologist 1 Hoppin Street, Coro West, Suite 204, Providence, RI 02903 2019-09-12
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Competitor

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City BARRINGTON
Zip Code 02806

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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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