NPI 1477500783 · live from the CMS NPI Registry
Susanne J Patrick-Mackinnon, MD
Psychiatry & Neurology, Neurology in Portsmouth, RI. National Provider Identifier 1477500783, active.
NPI record
| NPI | 1477500783 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 2444 E Main Rd, Portsmouth, RI 02871 |
| Practice phone | 401-683-1048 |
| Mailing address | 200 Mill Rd, Suite 180, Fairhaven, MA 02719 |
| Enumerated | May 30, 2006 |
| Last updated | February 17, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | MD09030 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.