Healthcare Provider Details

I. General information

NPI: 1114755253
Provider Name (Legal Business Name): TRUE PSYCHIATRY OF RHODE ISLAND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2024
Last Update Date: 07/27/2024
Certification Date: 07/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

#1054 4000 CHAPEL VIEW BLVD SUITE 300
CRANSTON RI
02920
US

IV. Provider business mailing address

#1054 4000 CHAPEL VIEW BLVD SUITE 300
CRANSTON RI
02920
US

V. Phone/Fax

Practice location:
  • Phone: 717-450-6955
  • Fax:
Mailing address:
  • Phone: 717-450-6955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: RODRIGO NARDI
Title or Position: OWNER
Credential: MD
Phone: 717-450-6955