Healthcare Provider Details

I. General information

NPI: 1831134469
Provider Name (Legal Business Name): CATHERINE NOBLE HEART PCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINA B. SOKOLOFF PCS

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 04/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

164 SUMMIT AVE
PROVIDENCE RI
02906-2853
US

IV. Provider business mailing address

117 ELLENFIELD ST STE 101
PROVIDENCE RI
02905-4541
US

V. Phone/Fax

Practice location:
  • Phone: 401-793-4300
  • Fax: 401-793-4312
Mailing address:
  • Phone: 401-444-6779
  • Fax: 401-444-6912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberPPNS00030
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberAPRN00050
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: