Mary Putera, LMHC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

MHC00155 Issued in RI

Practice address

216 Plain Rd
West Greenwich, RI 02817

Phone

(401) 239-7981

NPI assigned

Oct 24, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1366919797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 PLAIN RD",
            "city": "WEST GREENWICH",
            "state": "RI",
            "postal_code": "02817",
            "telephone_number": "401-239-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 PLAIN RD",
            "city": "WEST GREENWICH",
            "state": "RI",
            "postal_code": "02817",
            "telephone_number": "401-239-7981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2843 S County Trl Ste 101",
            "address_purpose": "LOCATION",
            "city": "East Greenwich",
            "state": "RI",
            "postal_code": "028181753",
            "country_code": "US",
            "telephone_number": "401-398-7799",
            "fax_number": "401-398-7889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUTERA",
        "first_name": "MARY",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "RI",
            "license": "MHC00155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MHC00155",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Counseling Psychologist in West Greenwich, RI
• Providers in West Greenwich, RI by specialty
• Counseling Psychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.