Healthcare Provider Details

I. General information

NPI: 1689578668
Provider Name (Legal Business Name): PLUR PSYCHIATRIC SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

225 NEWMAN AVE STE 315
RUMFORD RI
02916-1218
US

IV. Provider business mailing address

225 NEWMAN AVE STE 315
RUMFORD RI
02916-1218
US

V. Phone/Fax

Practice location:
  • Phone: 774-264-3965
  • Fax:
Mailing address:
  • Phone: 774-264-3965
  • 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: TARA MARTINO
Title or Position: OWNER, PRACTITIONER
Credential: MSN, RN, PMHNP-BC
Phone: 774-264-3965