Souls True Healing Psychiatry & Wellness, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SOULS TRUE HEALING PSYCHIATRY & WELLNESS, LLC

Practice address

171 Woodland Cir
Tiverton, RI 02878-2632

Phone

(401) 450-5222

NPI assigned

Jul 8, 2024

Last updated

Jul 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Doreen A Gendreau, EDD, APRN- PMHNP-BCNPI 1750095493

Title

Owner/Practitioner

Phone

(401) 450-5222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Doreen Gendreau, EDD, APRN-PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dartmouth, MA
  • NPI 1750095493

  RI

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1467298422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 WOODLAND CIR",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028782632",
            "telephone_number": "401-450-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 WOODLAND CIR",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028782632",
            "telephone_number": "401-450-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULS TRUE HEALING PSYCHIATRY & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "GENDREAU",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "401-450-5222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD,  APRN- PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Sears, MSN MHA RN
• Senior Lifestyle Sakonnet Bay Limited Partnership (Sakonnet Bay)
• Sarah Noelle Shaver, DPT
• Silver Fern Practice, LLC (Highbar)
• Robin Michelle Simon, LMHC
• Southern New England Wellness LLC
• Michelle Lynn Souza, LMT
• Keelyn A Spear, DS
• St Anne's Hospital (dbaTiverton Primary Care)
• Jillian St.Laurent, AS

• Psychiatry Physician in Tiverton, RI
• Providers in Tiverton, RI by specialty
• Psychiatry Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.