Healthcare Provider Details

I. General information

NPI: 1770091092
Provider Name (Legal Business Name): LEIA SABELLE GETCHELL PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2018
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 DOUGLAS PIKE STE 220
SMITHFIELD RI
02917-1879
US

IV. Provider business mailing address

100 HANCOCK ST
QUINCY MA
02171-1745
US

V. Phone/Fax

Practice location:
  • Phone: 401-452-0123
  • Fax: 401-941-7847
Mailing address:
  • Phone: 617-410-9328
  • Fax: 617-702-0492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number836194
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN10003148
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: