Kelley H Pistacchio (NPI# 1780713735, PAC ID# 6901099795) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
Nation Provider ID (NPI) | 1780713735 |
PAC ID by PECOS | 6901099795 |
Professional Enrollment ID | I20101026000473 |
Full Name | Kelley H Pistacchio |
Address |
610 Manton Ave Providence RI 02909-5633 |
Gender | F |
Graduation Year | 1991 |
Primary Specialty | PSYCHOLOGIST, CLINICAL |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
610 Manton Ave, Providence, RI 02909-5633 |
Street Address |
610 MANTON AVE |
City | PROVIDENCE |
State | RI |
Zip | 02909-5633 |
Name | Specialty | Organization | Address |
---|---|---|---|
Laura Ann Beaudry | Clinical Social Worker | The Cove Center,inc | 610 Manton Ave, Providence, RI 02909-5633 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mark Stephen O'neill | Clinical Social Worker | 265 Knight St, Providence, RI 02909-1131 | |
William S. Carey | Clinical Social Worker | 322 Broadway, Unit 1, Providence, RI 02909-1133 | |
Paul A Decesare | Optometry | I for An Eye, LLC | 354 Broadway, Providence, RI 02909-1434 |
Cassandra Sousa Oliveira | Optometry | I for An Eye, LLC | 354 Broadway, Providence, RI 02909-1434 |
Joshua R Lancellotti | Chiropractic | Rhode Island Chiropractic Pain Control Clinic, Inc. | 371 Broadway, Providence, RI 02909-1448 |
Julie Lockwood | Chiropractic | Rhode Island Chiropractic Pain Control Clinic, Inc. | 371 Broadway, Providence, RI 02909-1448 |
Joseph L Lancellotti | Chiropractic | Rhode Island Chiropractic Pain Control Clinic, Inc. | 371 Broadway, Providence, RI 02909-1448 |
Jeffrey P Migneault | Psychologist, Clinical | 433 Broadway, Providence, RI 02909-1624 | |
Amy J Westrick | Chiropractic | 511 Broadway, Providence, RI 02909-1816 | |
Ekknoor K. Sahota | Internal Medicine | The Providence Community Health Centers Inc. | 100 Curtis St, Providence, RI 02909-3623 |
Find all physicians in zip 02909 |
City | PROVIDENCE |
Zip Code | 02909 |
Specialty | PSYCHOLOGIST, CLINICAL |
City + Specialty | PROVIDENCE + PSYCHOLOGIST, CLINICAL |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.