Healthcare Provider Details

I. General information

NPI: 1285417493
Provider Name (Legal Business Name): JAMES SCARAMUZZINO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2023
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 TEN ROD RD STE C207
NORTH KINGSTOWN RI
02852-4127
US

IV. Provider business mailing address

3 GLENWOOD CT
BETHANY CT
06524-3334
US

V. Phone/Fax

Practice location:
  • Phone: 401-250-2731
  • Fax: 401-237-0988
Mailing address:
  • Phone: 203-491-9379
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC00467-A
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: