Chanta Pou, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

NPP37746 Issued in RI

Practice address

68 Cumberland St
Ste 102
Woonsocket, RI 02895-3300

Phone

(401) 356-1940

NPI assigned

Mar 25, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Plaza Psychology and Psychiatry, Inc.Group PAC ID 8628973666, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Plaza Psychology & Psychiatry, Inc.

  • Clinical Psychologist
  • Woonsocket, RI
  • NPI 1306890546

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1023350485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 CUMBERLAND ST",
            "address_2": "STE 102",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028953300",
            "telephone_number": "401-356-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CUMBERLAND ST",
            "address_2": "STE 102",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028953300",
            "telephone_number": "401-356-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POU",
        "first_name": "CHANTA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "NPP37746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Keith Polacek, LBA, BCBA
• Edgar A Pollak, MD
• Vignesh Ponnusamy
• Anthony R Potenza, MD
• Jolene Potter, LCSW
• Hannah Prairie, RN
• Benjamin Price, MD
• Prime Healthcare Services - Landmark ,LLC
• Prime Healthcare Services - Landmark ,LLC
• Prime Healthcare Services Landmark LLC

• Psychiatric/Mental Health Nurse Practitioner in Woonsocket, RI
• Providers in Woonsocket, RI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.