Active NPI
Maureen McDonnell
- Psychologist
- Warren, RI
National Provider Identifier
1356087944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 569 Main St
Warren, RI 02885-4356 - Phone
- (443) 519-2223
- NPI assigned
- May 7, 2022
- Last updated
- May 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
569 Main St
Warren, RI 02885-4356
Mailing address
569 Main St
Warren, RI 02885-4356
Phone (443) 519-2223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PST00293 | Other | RI | STATE LICENSE |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651881600000",
"number": "1356087944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "569 MAIN ST",
"city": "WARREN",
"state": "RI",
"postal_code": "028854356",
"telephone_number": "443-519-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "569 MAIN ST",
"city": "WARREN",
"state": "RI",
"postal_code": "028854356",
"telephone_number": "443-519-2223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONNELL",
"first_name": "MAUREEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-07",
"last_updated": "2022-05-07",
"certification_date": "2022-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PST00293",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warren, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.