SHAREEN HOLLY (NPI# 1942634407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PS01395 | RI | Behavioral Health & Social Service Providers |
Street Address |
50 MAUDE ST ELMHURST EXTENDED BLDG, 5TH FL |
City | PROVIDENCE |
State | RI |
Zip Code | 02908-4325 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013901248 | Daniel N Valicenti | Internal Medicine | 50 Maude St, 4th Floor, Providence, RI 02908-4325 | 2005-09-02 |
1871063891 | Integrated Wound Care Rhode Island Pllc | General Practice | 50 Maude St, Providence, RI 02908-4325 | 2018-12-03 |
1811402100 | Prospect Chartercare Home Health and Hospice, LLC | Registered Nurse | 50 Maude St, Providence, RI 02908-4325 | 2017-12-07 |
1871947093 | Samantha Mossman | Dietitian, Registered | 50 Maude St, Roger Willaims Oncology Center, Providence, RI 02908-4325 | 2016-04-14 |
1841679503 | Rui Cheng | Dermatology | 50 Maude St, Providence, RI 02908-4325 | 2015-05-27 |
1437544111 | Prospect Chartercare Physicians LLC | Clinic/Center | 50 Maude St, Providence, RI 02908-4325 | 2015-03-31 |
1083012173 | New University Medical Group LLC | Internal Medicine | 50 Maude St, Providence, RI 02908-4325 | 2014-12-05 |
1912322918 | Prospect Chartercare Rwmc, LLC | Home Health | 50 Maude St, Providence, RI 02908-4325 | 2014-02-27 |
1457776452 | Prospect Chartercare Elmhurst, LLC | Skilled Nursing Facility | 50 Maude St, Providence, RI 02908-4325 | 2014-02-27 |
1568707735 | Charlene Beth Botelho | Occupational Therapy Assistant | 50 Maude St, Providence, RI 02908-4325 | 2012-11-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548771900 | Horizon Wellness | Clinic/Center | 1339 Smith St, North Providence, RI 02908 | 2017-10-12 |
1477098069 | Beth Perry | Nurse Practitioner | 830 Chalstone Ave., Providence, RI 02908 | 2017-01-05 |
1659788735 | Brandi Kimble | Podiatrist | 825 Chalkstone Avenue, Providence, RI 02908 | 2014-07-21 |
1912253675 | Roger Williams Medical Center | Long Term Care Hospital | 25 Chalkstone Ave, Providence, RI 02908 | 2012-07-31 |
1669768818 | Elisa Semedo | Physical Therapist | 285 Promenade Street, Providence, RI 02908 | 2011-06-27 |
1255655502 | Caregiver Homes of Rhode Island Inc. | Custodial Care Facility | 235 Promenade Street, Providence, RI 02908 | 2010-03-16 |
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 |
Find all providers in zip 02908 |
Taxonomy Code | 103TC2200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical Child & Adolescent |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285269456 | Insight Neuropsychology LLC | Psychologist | 355 Hope St Fl 2, Providence, RI 02906-1633 | 2020-03-09 |
1255981247 | Preeti Sandhu | Psychologist | 1 Hoppin Street, Coro West, Suite 204, Providence, RI 02903 | 2019-09-12 |
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 |
1194081083 | David Heaton Barker | Psychologist | 1 Hoppin St, Suite 204, Providence, RI 02903-4141 | 2012-04-05 |
Find all providers in PROVIDENCE |
City | PROVIDENCE |
Zip Code | 02908 |
Please comment or provide details below to improve the information on SHAREEN HOLLY.
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.