Individual provider Active NPI

Tullio David Pitassi, LCDP LMHC PHD

  • Addiction (Substance Use Disorder) Counselor
  • Warwick, RI
National Provider Identifier
1285703777
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
00140 Issued in RI
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

Updated by the provider on Jul 23, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
301118OtherRIBLUE CROSS
406688OtherRIBLUE CHIP
TP09009MedicaidRI
6244587OtherRIUBH

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

LicenseStateTypeSpecialty
00140RIMDAddiction (Substance Use Disorder) Counselor
LMHC00070RIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Assessment and Treatment Associates, LLC PastSince May 31, 2011 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.

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.

Verify at the official NPI Registry.