PVD Cares Psychiatry LLC

Primary specialty

Child & Family Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0810X

Legal business name

PVD CARES PSYCHIATRY LLC

Practice address

126 Prospect St Ste 105
Pawtucket, RI 02860-4429

Phone

(401) 753-2526

Fax

(401) 253-4152

NPI assigned

Jun 28, 2021

Organization subpart

No

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

Authorized official

Name

Effien King, FNP, PMHNPNPI 1518511021

Title

Owner

Phone

(401) 753-2526

Specialties & licenses 1

Addresses

Other names 1

• PVD Cares and Wellness Center Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Effien King, FNP

  • Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
  • Pawtucket, RI
  • NPI 1518511021

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1568032142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 PROSPECT ST STE 105",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604429",
            "telephone_number": "401-753-2526",
            "fax_number": "401-253-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 PROSPECT ST STE 105",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604429",
            "telephone_number": "401-753-2526",
            "fax_number": "401-253-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PVD CARES PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "EFFIEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-753-2526",
        "authorized_official_credential": "FNP, PMHNP"
    },
    "taxonomies": [
        {
            "code": "364SP0810X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PVD Cares and Wellness Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Amanda Prymak, RN
• Psych Solutions LLC
• Chan Yeu Pu, M.D.
• Alyssa Pullan, PMHNP-BC
• Tatiana Pullar, BCBA
• PVD Cares Wellness Center LLC
• Quick Clever Care Inc
• Cara Quinn, LMFT
• Toni Quinn, LMHC
• Reema Qureshi, M.D.

• Clinical Nurse Specialist in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Clinical Nurse Specialist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.