SHAREEN HOLLY


Address: 50 Maude St, Elmhurst Extended Bldg, 5th Fl, Providence, RI 02908-4325
Phone: 4014566587

SHAREEN HOLLY (NPI# 1942634407) 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) 1942634407
Entity Type Individual
Full Name SHAREEN HOLLY
Credential PH.D.
Practice Address 50 Maude St
Elmhurst Extended Bldg, 5th Fl
Providence
RI 02908-4325
Practice Telephone 4014566587
Practice Fax Number 4014562399
Mailing Telephone 4014566587
Mailing Fax Number 4014562399
Enumeration Date 2013-09-02
Last Update Date 2013-09-02
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
PS01395 RI Behavioral Health & Social Service Providers

Office Location

Street Address 50 MAUDE ST
ELMHURST EXTENDED BLDG, 5TH FL
City PROVIDENCE
State RI
Zip Code 02908-4325

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1871947093 Samantha Mossman Dietitian, Registered 50 Maude St, Roger Willaims Oncology Center, Providence, RI 02908-4325 2016-04-14
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1083012173 New University Medical Group LLC Internal Medicine 50 Maude St, Providence, RI 02908-4325 2014-12-05
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1457776452 Prospect Chartercare Elmhurst, LLC Skilled Nursing Facility 50 Maude St, Providence, RI 02908-4325 2014-02-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548771900 Horizon Wellness Clinic/Center 1339 Smith St, North Providence, RI 02908 2017-10-12
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1487884987 Professional Ambulance LLC Ambulance 52 River Ave, Providence, RI 02908 2009-07-17
1609065804 Stephen W Davis Family Medicine 299 Promenade Street, Nhpri, Providence, RI 02908 2007-10-24
1205053899 John R Ricci Dentist 1252 Smith St, Providence, RI 02908 2007-04-18
1871718718 Brett C Auclaire Nurse Practitioner 40 Candace Street, Providence, RI 02908 2007-04-16
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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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1154815835 Katharine Conrad Reynolds Psychologist 593 Eddy St, Providence, RI 02903-4923 2018-06-18
1578926952 Karyn Hartz-mandell Psychologist 1 Hoppin St, Coro West, Suite 204, 2.115, Providence, RI 02903-4141 2016-04-01
1093121394 Michael Walther Psychologist 1 Hoppin St, Suite 204, Providence, RI 02903-4141 2014-07-08
1821332727 Christina Tortolani Psychologist 593 Eddy St, Potter 3, Providence, RI 02903-4923 2012-11-15
1669721429 Julie Thayer Psychologist 593 Eddy Street, Physician Office Building 122, Providence, RI 02903 2012-09-06
1689935447 L. Cinnamon Bidwell Psychologist 1 Hoppin St, Suite 204, Providence, RI 02903-4141 2012-06-07
1770849242 Kristen Michelle Benito Psychologist 1 Hoppin St, Suite 204, Providence, RI 02903-4141 2012-04-09
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Competitor

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City PROVIDENCE
Zip Code 02908

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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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