Healthcare Provider Details

I. General information

NPI: 1306890546
Provider Name (Legal Business Name): PLAZA PSYCHOLOGY & PSYCHIATRY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 SOCIAL ST STE 180
WOONSOCKET RI
02895-3213
US

IV. Provider business mailing address

191 SOCIAL ST STE 180
WOONSOCKET RI
02895-3213
US

V. Phone/Fax

Practice location:
  • Phone: 401-356-1940
  • Fax: 401-356-1949
Mailing address:
  • Phone: 401-356-1940
  • Fax: 401-356-1949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: PENELOPE A. YANNI
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 401-356-1940