Individual provider Active NPI

Kathleen Rae Donise, MD

  • Psychiatry Physician
  • Providence, RI
National Provider Identifier
1134257348
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD11892 Issued in RI
Practice address
Rhode Island Hospital
593 Eddy Street
Providence, RI 02903
Phone
(401) 444-4779
Fax
(401) 519-2963
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MA88231 NJ
Psychiatry Physician 2084P0800X MD11892 RI Primary

Addresses

Primary practice location

Rhode Island Hospital
593 Eddy Street
Providence, RI 02903

Mailing address

Rhode Island Hospital, Moc BLDG Suite 460
2 Dudley Street
Providence, RI 02905
Phone (401) 444-4779

Other identifiers 2

IdentifierTypeStateIssuer
MA88231OtherNJMEDICAL LICENSE
MD11892OtherRIMEDICAL LICENSE

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070808000663 RI Practitioner - Psychiatry 3971694779 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA88231NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Corporation Current Accepting new patients
Rhode Island Hospital CurrentSince Jan 6, 2020 Accepting new patients
Emma Pendleton Bradley Hospital CurrentSince Oct 3, 2023 Accepting new patients
Emma Pendleton Bradley Hospital Psychiatry CurrentSince Oct 3, 2023 Accepting new patients
Rhode Island Hospital Psychiatry CurrentSince Jan 6, 2020 Accepting new patients
Rhode Island Hospital Past Accepting new patients
Gateway Healthcare Inc PastSince May 9, 2021 Accepting new patients

Locations

593 Eddy St
#921
Providence, RI 02903
Phone (401) 444-3250

593 Eddy St
Rm 38
Providence, RI 02903
Phone (401) 444-4779

593 Eddy St
#38
Providence, RI 02903
Phone (401) 444-4779

593 Eddy St
Providence, RI 02903

593 Eddy St
Ste 5
Providence, RI 02903
Phone (401) 444-3996

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

2 Dudley St
Ste 460
Providence, RI 02905
Phone (401) 331-2303

1011 Veterans Memorial Pkwy
Riverside, RI 02915
Phone (401) 432-1000

Interoperability endpoints

  • Direct secure messaging: kdonise29095@brownhealth.medalliesdirect.net

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1134257348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RHODE ISLAND HOSPITAL, MOC BLDG SUITE 460",
            "address_2": "2 DUDLEY STREET",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02905",
            "telephone_number": "401-444-4779",
            "fax_number": "401-519-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RHODE ISLAND HOSPITAL",
            "address_2": "593 EDDY STREET",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02903",
            "telephone_number": "401-444-4779",
            "fax_number": "401-519-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONISE",
        "first_name": "KATHLEEN",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA88231",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "MD11892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MA88231",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD11892",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.