Brian Pallister

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDP00783 Issued in RI

Practice address

205 Hallene Rd Unit 102
Warwick, RI 02886-2451

Phone

(401) 426-9876

NPI assigned

Mar 12, 2019

Last updated

Mar 12, 2019By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1245798925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 MIANTONOMO DR",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028885316",
            "telephone_number": "401-426-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 HALLENE RD UNIT 102",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862451",
            "telephone_number": "401-426-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLISTER",
        "first_name": "BRIAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "CDP00783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Dawn Palana, LCSW
• Michele R Palazzolo, OD
• Frank Paletta, D.M.D., M.D.
• Nicole Lynn Pallett
• Zachary Pallini
• Justin Palmer, NP
• Amanda C Palmisciano
• Palo Recovery Counseling
• Jennifer Palo, MA LCDP
• Loghan Palombo

• Addiction (Substance Use Disorder) Counselor in Warwick, RI
• Providers in Warwick, RI by specialty
• Addiction (Substance Use Disorder) Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.