Active NPI
Andrea M Piccirillo, MA, CAGS
- School Psychologist
- Cranston, RI
National Provider Identifier
1609445758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 1 Sage Dr
Cranston, RI 02921-3524 - Phone
- (401) 524-5693
- NPI assigned
- Jun 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | RI | Primary |
Addresses
Primary practice location
1 Sage Dr
Cranston, RI 02921-3524
Mailing address
1 Sage Dr
Cranston, RI 02921-3524
Phone (401) 524-5693
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Cranston |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1609445758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SAGE DR",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029213524",
"telephone_number": "401-524-5693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SAGE DR",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029213524",
"telephone_number": "401-524-5693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICCIRILLO",
"first_name": "ANDREA",
"middle_name": "M",
"credential": "MA, CAGS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-23",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "RI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Cranston",
"affiliation": "N",
"address_1": "1 Sage Dr",
"city": "Cranston",
"state": "RI",
"country_code": "US",
"postal_code": "029213524",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.