Active NPI
Tullio David Pitassi, LCDP LMHC PHD
- Addiction (Substance Use Disorder) Counselor
- Warwick, RI
National Provider Identifier
1285703777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 00140
- Practice address
- 50 Health LN
The Kent Center
Warwick, RI 02886-2711 - Phone
- (401) 732-5656
- Fax
- (401) 738-8634
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 00140 | RI | Primary |
| Mental Health Counselor | 101YM0800X | LMHC00070 | RI | |
| Psychologist | 103T00000X | 2788 | MA |
Addresses
Primary practice location
50 Health LN
The Kent Center
Warwick, RI 02886-2711
Mailing address
148 Old Snake Hill Rd
Chepachet, RI 02814
Phone (401) 568-1873
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 301118 | Other | RI | BLUE CROSS |
| 406688 | Other | RI | BLUE CHIP |
| TP09009 | Medicaid | RI | |
| 6244587 | Other | RI | UBH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00140 | RI | MD | Addiction (Substance Use Disorder) Counselor |
| LMHC00070 | RI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Assessment and Treatment Associates, LLC | Past | Accepting new patients | |
| Mashpee Mental Health Center, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Mashpee, MA
- NPI 1467743088
-
- Community/Behavioral Health Agency
- Mashpee, MA
- NPI 1790844843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248307200000",
"number": "1285703777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 OLD SNAKE HILL RD",
"city": "CHEPACHET",
"state": "RI",
"postal_code": "02814",
"telephone_number": "401-568-1873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 HEALTH LN",
"address_2": "THE KENT CENTER",
"city": "WARWICK",
"state": "RI",
"postal_code": "028862711",
"telephone_number": "401-732-5656",
"fax_number": "401-738-8634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITASSI",
"first_name": "TULLIO",
"middle_name": "DAVID",
"credential": "LCDP LMHC PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2009-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "RI",
"license": "00140",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "RI",
"license": "LMHC00070",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "2788",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "301118",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "406688",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TP09009",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "6244587",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.