NPI 1114011756 · live from the CMS NPI Registry
Angell Street Psychiatry Ltd
Psychiatry & Neurology, Psychiatry in Warwick, RI. National Provider Identifier 1114011756, active.
NPI record
| NPI | 1114011756 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 33 College Hill Rd, Bld 29c, Warwick, RI 02886 |
| Practice phone | 401-822-4673 |
| Enumerated | October 3, 2006 |
| Last updated | January 14, 2021 |
| Authorized official | David Kroessler, President/Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | — |
| Social Worker | 104100000X | — |
| Registered Nurse, Psych/Mental Health | 163WP0808X | — |
| Family Medicine, Addiction Medicine | 207QA0401X | — |
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.