NPIMap

Organization Active NPI

Michelle Crandall PCNS LLC

  • Adult Mental Health Clinic/Center
  • Wood River Junction, RI
National Provider Identifier
1376956342
Registry record updated Jun 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
PPNS00087 Issued in RI
Legal business name
MICHELLE CRANDALL PCNS LLC
Practice address
35 Dawn LN
Wood River Junction, RI 02894-1001
Phone
(401) 364-0739
NPI assigned
Jun 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2014

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

Authorized official

Name
Michelle Crandall, RN PCNS
Title
Owner
Phone
(401) 364-0739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X PPNS00087 RI Primary

Addresses

Primary practice location

35 Dawn LN
Wood River Junction, RI 02894-1001

Mailing address

PO Box 204
Wood River Junction, RI 02894-0204
Phone (401) 364-0739

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1402185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402185600000",
    "number": "1376956342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 204",
            "city": "WOOD RIVER JUNCTION",
            "state": "RI",
            "postal_code": "028940204",
            "telephone_number": "401-364-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 DAWN LN",
            "city": "WOOD RIVER JUNCTION",
            "state": "RI",
            "postal_code": "028941001",
            "telephone_number": "401-364-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE CRANDALL PCNS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-08",
        "last_updated": "2014-06-08",
        "status": "A",
        "authorized_official_last_name": "CRANDALL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-364-0739",
        "authorized_official_credential": "RN PCNS"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "RI",
            "license": "PPNS00087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wood River Junction, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2014; 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.