Active NPI
Denise S. Duplessis, MS, PCNS
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
- Dudley, MA
National Provider Identifier
1487625083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
- License
- RN166154
- Practice address
- 161 W Main St
Dudley, MA 01571 - Phone
- (508) 765-9167
- NPI assigned
- Jan 31, 2006
- Last updated
- Jun 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0807X | PPNS0040 | RI | |
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0807X | RN166154 | MA | Primary |
| Case Management Registered Nurse | 163WC0400X | RNCNS21791 | RI | |
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | RN21791 | RI |
Addresses
Primary practice location
161 W Main St
Dudley, MA 01571
Mailing address
PO Box 40
Southbridge, MA 01550-0040
Phone (508) 909-7799
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD31513 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RNCNS21791 | RI | MD | Case Management Registered Nurse |
| RN21791 | RI | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
| RN166154 | MA | MD | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist |
| PPNS0040 | RI | MD | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emma Pendleton Bradley Hospital | Current | Accepting new patients | |
| Natchaug Hospital, Inc. | Current | Accepting new patients | |
| Emma Pendleton Bradley Hospital | Current | Accepting new patients | |
| Gateway Healthcare Inc | Past | Accepting new patients |
Locations
189 Storrs Rd
Mansfield Ctr, CT 06250
Phone (860) 456-1311
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
1011 Veterans Memorial Pkwy
Riverside, RI 02915
Phone (401) 432-1000
Interoperability endpoints
- denise.duplessis@xdr.hhchealthdirect.org
Organizations & group practices 4
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.
-
- Psychiatric Hospital
- Riverside, RI
- NPI 1578768867
-
- Psychiatric Hospital
- Mansfield Center, CT
- NPI 1295811321
-
- Psychiatry Physician
- Riverside, RI
- NPI 1073705943
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pawtucket, RI
- NPI 1821078932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529971200000",
"number": "1487625083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40",
"city": "SOUTHBRIDGE",
"state": "MA",
"postal_code": "015500040",
"telephone_number": "508-909-7799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 W MAIN ST",
"city": "DUDLEY",
"state": "MA",
"postal_code": "01571",
"telephone_number": "508-765-9167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPLESSIS",
"first_name": "DENISE",
"middle_name": "S.",
"name_prefix": "Ms.",
"credential": "MS, PCNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-31",
"last_updated": "2018-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0807X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
"state": "RI",
"license": "PPNS0040",
"primary": false
},
{
"code": "364SP0807X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
"state": "MA",
"license": "RN166154",
"primary": true
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "RI",
"license": "RNCNS21791",
"primary": false
},
{
"code": "163WP0807X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": "RI",
"license": "RN21791",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DD31513",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dudley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.