CMB Wellness LLC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

CMB WELLNESS LLC

Practice address

231 Old Tower Hill Rd Ste 208
Wakefield, RI 02879-3708

Phone

(401) 284-7414

Fax

(949) 655-2738

NPI assigned

Mar 17, 2023

Last updated

Mar 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Ann Pearce Bisland, APRN, PMHSNPI 1821465386

Title

Managing Owner

Phone

(401) 284-7414

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ann Pearce Bisland, APRN

  • Child & Adolescent Psychiatry Physician
  • Wakefield, RI
  • NPI 1821465386
  NPD Authorized official

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1124720909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BROOK FARM RD N",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028792722",
            "telephone_number": "646-386-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 OLD TOWER HILL RD STE 208",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793708",
            "telephone_number": "401-284-7414",
            "fax_number": "949-655-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMB WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "BISLAND",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "PEARCE",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "401-284-7414",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN, PMHS"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Leslie Cipriani-Fox, MS, OTR/L, BCP
• Mary Clair-Michaud, PH.D.
• Cory Clark, PH.D.
• Patricia R Clark, M.S., LMFT
• Club Wellbeing LLC
• Coastal Medical, Inc. (Coastal Medical - Wakefield Medical)
• Chad Coffin, MA
• Sally Anne Cole-Major, MS CCC-SLP
• Jessica Coliflores, FNP-C
• Abram Collard, D.O.

• Child & Adolescent Psychiatry Physician in Wakefield, RI
• Providers in Wakefield, RI by specialty
• Child & Adolescent Psychiatry Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.