Beth Cleary, PMHNP, RN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · West Warwick, RI
NPI 1487062907 · NPPES record last updated Aug 25, 2025
Key facts
- NPI
- 1487062907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- APRN01978 (RI)
- Practice address
- 186 Providence St
West Warwick, RI 02893 - Phone
- (401) 615-2800
- NPI assigned
- Jul 28, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Thundermist Health Center
Practice addresses (Care Compare)
186 Providence St
West Warwick, RI 02893-2508
Phone (401) 615-2800
450 Clinton St
Woonsocket, RI 02895-3207
Phone (401) 767-4100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190130001148 | RI | Practitioner - Nurse Practitioner | 2961701685 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2264984 | MA | MD | Registered Nurse |
| APRN01978 | RI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thundermist Health Center | Current | Accepting new patients | |
| Thundermist Health Center | Current |
Accepting new patients | |
| Thundermist Health Center | Current |
Accepting new patients |
Locations
1 River St
Wakefield, RI 02879
Phone (401) 783-0523
186 Providence St
West Warwick, RI 02893
Phone (401) 615-2800
450 Clinton St
Woonsocket, RI 02895
25 John a Cummings Way
Ste 302
Woonsocket, RI 02895
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DCBEAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2264984 | MA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN2264984 | MA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN01978 | RI | Yes |
Addresses
Primary practice location
186 Providence St
West Warwick, RI 02893
Mailing address
186 Providence St
West Warwick, RI 02893-2508
Phone (401) 615-2800
Other practice location 1
50 Aldrin Rd
Plymouth, MA 02360-4827
Phone (508) 830-0000
Other practice location 2
450 Clinton St
Woonsocket, RI 02895-3207
Phone (401) 767-4100
Other practice location 3
1 River St
Wakefield, RI 02879-3214
Phone (401) 783-0523
Other practice location 4
360 Kingstown Rd
Narragansett, RI 02882-3258
Phone (401) 789-6492
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CAPRN01978 | Other | RI | CAPRN |
| APRN01978 | Other | RI | APRN LICENSE |
| RN62078 | Other | RI | RN LICENSE |
NPI Registry JSON
{
"created_epoch": "1406505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756080000000",
"number": "1487062907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 PROVIDENCE ST",
"city": "WEST WARWICK",
"state": "RI",
"postal_code": "028932508",
"telephone_number": "401-615-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 PROVIDENCE ST",
"city": "WEST WARWICK",
"state": "RI",
"postal_code": "02893",
"telephone_number": "401-615-2800"
}
],
"practiceLocations": [
{
"address_1": "50 Aldrin Rd",
"address_purpose": "LOCATION",
"city": "Plymouth",
"state": "MA",
"postal_code": "023604827",
"country_code": "US",
"telephone_number": "508-830-0000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "450 Clinton St",
"address_purpose": "LOCATION",
"city": "Woonsocket",
"state": "RI",
"postal_code": "028953207",
"country_code": "US",
"telephone_number": "401-767-4100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 River St",
"address_purpose": "LOCATION",
"city": "Wakefield",
"state": "RI",
"postal_code": "028793214",
"country_code": "US",
"telephone_number": "401-783-0523",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "360 Kingstown Rd",
"address_purpose": "LOCATION",
"city": "Narragansett",
"state": "RI",
"postal_code": "028823258",
"country_code": "US",
"telephone_number": "401-789-6492",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLEARY",
"first_name": "BETH",
"credential": "PMHNP, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-28",
"last_updated": "2025-08-25",
"certification_date": "2025-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2264984",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "RN2264984",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "RI",
"license": "APRN01978",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPRN",
"identifier": "CAPRN01978",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN LICENSE",
"identifier": "APRN01978",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "RN62078",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Warwick, RI
- Choice Physical Therapy of East Greenwich Inc
- Kelly Michelle Ciapciak
- Dora K. Clark
- Claudia A Clarke
- Laura Caitrin Clarke
- Clinic for Mind and Body Optimization, LLC
- Max Reed Cohen
- Alice M Colon
- Hollie Ann Colucci
- Community Access Speech Therapy
All providers in West Warwick, RI · Psychiatric/Mental Health Nurse Practitioner in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.