Me Rhode Island LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ME RHODE ISLAND LLC

Practice address

31 Greenlake Dr
Greenville, RI 02828-3101

Phone

(401) 226-7032

NPI assigned

Oct 15, 2024

Organization subpart

No

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

Authorized official

Name

Michelle JacksonNPI 1306663711

Title

Owner

Phone

(401) 226-7032

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Jackson, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenville, RI
  • NPI 1306663711
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1043030018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 GREENLAKE DR",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028283101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 GREENLAKE DR",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028283101",
            "telephone_number": "401-226-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ME RHODE ISLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-226-7032"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriella Martino
• Ellen Marie Mastrostefano-Curran, PSY.D.
• Shannon McCann, RN
• Michael Patrick McGee
• Patrick J McGuirk, DDS
• Medication Management LLC
• Mindfully Guided, LLC
• Monarch
• Debra Monte
• Joanne Marie Morrissey

• Psychiatric/Mental Health Nurse Practitioner in Greenville, RI
• Providers in Greenville, 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 Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.