Healthcare Provider Details

I. General information

NPI: 1801246616
Provider Name (Legal Business Name): GARDEN CITY PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2016
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 SOCKANOSSET CROSS RD STE 110
CRANSTON RI
02920-5558
US

IV. Provider business mailing address

75 SOCKANOSSET CROSS RD STE 110
CRANSTON RI
02920-5558
US

V. Phone/Fax

Practice location:
  • Phone: 401-946-6400
  • Fax: 401-946-6406
Mailing address:
  • Phone: 401-946-6400
  • Fax: 401-946-6406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberAPRN00019
License Number StateRI

VIII. Authorized Official

Name: ASHLEIGH FISHER
Title or Position: OFFICE MANAGER
Credential:
Phone: 401-946-6400