Active NPI
Claribel Cruz, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN04906
- Practice address
- 10 Dorrance St Ste 700
Providence, RI 02903-2014 - Phone
- (401) 829-2906
- Fax
- (401) 895-3771
- NPI assigned
- Sep 29, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN04906 | RI | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN2349975 | MA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 16598 | CT |
Addresses
Primary practice location
10 Dorrance St Ste 700
Providence, RI 02903-2014
Mailing address
72 Shady Hill Dr
West Warwick, RI 02893-2337
Phone (401) 829-2906
Other practice location 1
1233 Main St
Holyoke, MA 01040-5381
Phone (413) 701-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260218002278 | MA | Practitioner - Nurse Practitioner | 0840770772 | Reassigns benefits to 2 organizations |
| I20260327001497 | RI | Practitioner - Nurse Practitioner | 0840770772 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Holyoke Capital JV, LLC
Practice addresses (Care Compare)
1233 Main St
Holyoke, MA 01040-5381
Phone (413) 264-0819
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16598 | CT | MD | Clinical Social Worker |
| RN2349975 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
| APRN04906 | RI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vivapath Behavioral and Wellness LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Holyoke Capital JV, LLC | Current | Accepting new patients |
Locations
1233 Main St
Holyoke, MA 01040
Phone (413) 264-0819
10 Dorrance St
Ste 700
Providence, RI 02903
Phone (401) 200-8242
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 and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Providence, RI
- NPI 1164352431
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1497628929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 SHADY HILL DR",
"city": "WEST WARWICK",
"state": "RI",
"postal_code": "028932337",
"telephone_number": "401-829-2906",
"fax_number": "401-895-3771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 DORRANCE ST STE 700",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029032014",
"telephone_number": "401-829-2906",
"fax_number": "401-895-3771"
}
],
"practiceLocations": [
{
"address_1": "1233 Main St",
"address_purpose": "LOCATION",
"city": "Holyoke",
"state": "MA",
"postal_code": "010405381",
"country_code": "US",
"telephone_number": "413-701-2600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRUZ",
"first_name": "CLARIBEL",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-29",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "RI",
"license": "APRN04906",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "RN2349975",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "16598",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.