Michelle D Crandall, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Cranston, RI
NPI 1508979220 · NPPES record last updated Oct 30, 2025
Key facts
- NPI
- 1508979220
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- APRN00185 (RI)
- Practice address
- 1052 Park Ave
Cranston, RI 02910 - Phone
- (401) 461-5056
- Fax
- (401) 942-3590
- NPI assigned
- Aug 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN00185 | RI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Narragansett Indian Tribe | Past | Accepting new patients | |
| Narragansett Indian Health Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN00185 | RI | Yes |
Addresses
Primary practice location
1052 Park Ave
Cranston, RI 02910
Mailing address
1052 Park Ave
Cranston, RI 02910
Phone (401) 539-0600
Other providers in Cranston, RI
- Carol S Cote
- Dawn Ann Cousineau
- Deirdre Odelia Couture
- Cra-Mar Corporation
- Lori A Cragan
- Cranston Arc
- Cranston Arc
- Cranston Arc
- Cranston Arc
- Cranston Arc
All providers in Cranston, 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 Oct 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.