Individual provider Active NPI

Claribel Cruz, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Providence, RI
National Provider Identifier
1497628929
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN04906 Issued in RI
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

Updated by the provider on May 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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, LLCGroup PAC ID 7517373079, 31 clinicians

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

LicenseStateTypeSpecialty
16598CTMDClinical Social Worker
RN2349975MAMDPsychiatric/Mental Health Nurse Practitioner
APRN04906RIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vivapath Behavioral and Wellness LLC Psychiatric/Mental Health CurrentSince Oct 5, 2025 Accepting new patients
Holyoke Capital JV, LLC CurrentSince Feb 16, 2026 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.

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

Verify at the official NPI Registry.