Healthcare Provider Details

I. General information

NPI: 1750285847
Provider Name (Legal Business Name): CLARITY COGNITIVE CONSULTANTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 NARRAGANSETT PARK DR STE 100
PAWTUCKET RI
02861-4326
US

IV. Provider business mailing address

136 LEWISTON ST
WARWICK RI
02889-6026
US

V. Phone/Fax

Practice location:
  • Phone: 401-210-5456
  • Fax: 401-210-5457
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: DANTE PETERSON
Title or Position: OWNER
Credential: FNP-C, PMHNP-BC
Phone: 401-210-5456