Active NPI
Mardea Halley, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Cranston, RI
National Provider Identifier
1437026465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN04817
- Practice address
- 1150 Reservoir Ave Ste 203
Cranston, RI 02920-6032 - Phone
- (401) 259-0340
- Fax
- (401) 213-8538
- NPI assigned
- Oct 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN04817 | RI | Primary |
Addresses
Primary practice location
1150 Reservoir Ave Ste 203
Cranston, RI 02920-6032
Mailing address
1150 Reservoir Ave Ste 203
Cranston, RI 02920-6032
Phone (401) 259-0340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1150 Reservoir Ave
Suite 203
Cranston, RI 02920-6043
Phone (401) 259-0340
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN04817 | RI | MD | Psychiatric/Mental Health Nurse Practitioner |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Cranston, RI
- NPI 1336638303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1437026465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 RESERVOIR AVE STE 203",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029206032",
"telephone_number": "401-259-0340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 RESERVOIR AVE STE 203",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029206032",
"telephone_number": "401-259-0340",
"fax_number": "401-213-8538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLEY",
"first_name": "MARDEA",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-23",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "RI",
"license": "APRN04817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.