Healthcare Provider Details

I. General information

NPI: 1134257348
Provider Name (Legal Business Name): KATHLEEN RAE DONISE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RHODE ISLAND HOSPITAL 593 EDDY STREET
PROVIDENCE RI
02903
US

IV. Provider business mailing address

RHODE ISLAND HOSPITAL, MOC BLDG SUITE 460 2 DUDLEY STREET
PROVIDENCE RI
02905
US

V. Phone/Fax

Practice location:
  • Phone: 401-444-4779
  • Fax: 401-519-2963
Mailing address:
  • Phone: 401-444-4779
  • Fax: 401-519-2963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMA88231
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD11892
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: