Healthcare Provider Details

I. General information

NPI: 1508266784
Provider Name (Legal Business Name): PSYCHIATRIC ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2014
Last Update Date: 08/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1311 BEDFORD ST
FALL RIVER MA
02723-2637
US

IV. Provider business mailing address

115 HIGH ST
BRISTOL RI
02809-2125
US

V. Phone/Fax

Practice location:
  • Phone: 401-477-4681
  • Fax: 401-396-5324
Mailing address:
  • Phone: 401-477-4681
  • Fax: 401-396-5324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberCPPNS00099
License Number StateRI

VIII. Authorized Official

Name: GINA MARIA DIGATI
Title or Position: PSYCHIATRIC CLINICAL NURSE SPECIALI
Credential: RN/PC
Phone: 401-477-4681