Patricia A Petitpas, APRN/PCNS

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

PPNS00064 Issued in RI

Practice address

900 Reservoir Ave
Cranston, RI 02910-4453

Phone

(401) 944-0194

Fax

(401) 944-0196

NPI assigned

Oct 4, 2006

Last updated

Dec 22, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21422/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Petitpas Psychiatric Services, LLC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Cranston, RI
  • NPI 1245695964
  Authorized official Same address or phone
• Community Care Alliance

  • Community/Behavioral Health Agency
  • Woonsocket, RI
  • NPI 1437191061
  NPD (past)
• The Providence Center

  • Community/Behavioral Health Agency
  • Providence, RI
  • NPI 1134977598
  NPD (past)
• The Providence Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Providence, RI
  • NPI 1104847946

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1457446593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 METROPOLITAN DRIVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028867922",
            "telephone_number": "401-738-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104453",
            "telephone_number": "401-944-0194",
            "fax_number": "401-944-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETITPAS",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "APRN/PCNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "RN22224",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "RI",
            "license": "PPNS00064",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "RI",
            "license": "PPNS00064",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "LCDP00043",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "RN22224",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "LCDP00043",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "6228710",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI BC/BS PRVD.#",
            "identifier": "0000032309",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI BLUE CROSS PROVIDER #",
            "identifier": "0000032309",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI BLUE CHIP PROVIDER #",
            "identifier": "413965",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter J Sardella DPM LLC
• Peter J Sardella DPM LLC
• Karen L Peters-Bowden, LICSW
• Bradley E. Peterson, R.PH.
• Petitpas Psychiatric Services, LLC
• Michael John Petrarca, OTR
• Alexandria Nicole Pettinato, MS, LCDP
• Pezza Orthodontics
• Gregory Frank Pezza, DMD, MSD
• Joseph Edward Pezza, DDS

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Cranston, RI
• Providers in Cranston, RI by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; 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.