Gloria Mary Mazza, NP-C

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN02129 Issued in RI

Practice address

111 Howard Ave
Box 8269
Cranston, RI 02920-3001

Phone

(401) 447-1777

NPI assigned

Sep 21, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Road Psychiatry LLCGroup PAC ID 9133531593, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• North Road Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Peace Dale, RI
  • NPI 1215540042
  Medicare reassignment Care Compare group NPD Authorized official
• Community Care Alliance

  • Community/Behavioral Health Agency
  • Woonsocket, RI
  • NPI 1437191061
  NPD
• Plaza Psychology & Psychiatry, Inc.

  • Clinical Psychologist
  • Woonsocket, RI
  • NPI 1306890546

  Psychiatric/Mental Health

  NPD

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

{
    "created_epoch": "1411257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1497157572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 S COUNTY COMMONS WAY STE D11",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028798252",
            "telephone_number": "401-447-1777",
            "fax_number": "401-205-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HOWARD AVE",
            "address_2": "BOX 8269",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029203001",
            "telephone_number": "401-447-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZA",
        "first_name": "GLORIA",
        "middle_name": "MARY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-21",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN02129",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "RI",
            "license": "NPP37899",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxi Drug South LP (Rite Aid Pharmacy 10261)
• Maxi Drug South LP (Rite Aid Pharmacy 06595)
• Julie Maxwell, MSOT
• Catherine Margaret May, MSN
• Jeremy May, MASTERS, LMFT
• Matthew R McAllister, C.PED
• McArdle Chiropractic and Wellness Center, LLC
• McArdle Chiropractic and Wellness Center,LLC
• Adam Leonard McAteer, DPM
• Ellen McCann Hoy, MASTERS

• Psychiatric/Mental Health Nurse Practitioner in Cranston, RI
• Providers in Cranston, RI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.

Verify at the official NPI Registry.