Individual provider Active NPI

Fabienne Alce, R.N

  • Psychiatric/Mental Health Nurse Practitioner
  • Brockton, MA
National Provider Identifier
1669820601
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2306543 Issued in MA
Practice address
17 Prospect Ave
Brockton, MA 02301-3323
Phone
(508) 345-4085
NPI assigned
Jun 1, 2016
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F405556-01 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2306543 MA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11030144 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1154434 TX

Addresses

Primary practice location

17 Prospect Ave
Brockton, MA 02301-3323

Mailing address

54 Provost St
Brockton, MA 02302-2828
Phone (508) 345-4085

Other practice location 1

398 Bellevue Ave
Newport, RI 02840-6955
Phone (718) 506-1115

Other practice location 2

17 Adelphi Ave
Providence, RI 02906-4119
Phone (718) 506-1115

Other names 1

  • Fabienne A Chirac Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, 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
I20250529001807 NY Practitioner - Nurse Practitioner 3870036247 Reassigns benefits to 2 organizations
I20251002001388 RI Practitioner - Nurse Practitioner 3870036247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supportive Care I of Rhode Island PCGroup PAC ID 1951793546, 53 clinicians
Palladia IncGroup PAC ID 9032651914, 5 clinicians

Practice addresses (Care Compare)

17 Adelphi Ave
Providence, RI 02906-4119
Phone (718) 298-4375

177 E 122ND St
FL 2
New York, NY 10035-2906
Phone (212) 360-7116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN11030144FLMDPsychiatric/Mental Health Nurse Practitioner
RN2306543MAMDPsychiatric/Mental Health Nurse Practitioner
F405556-01NYMDPsychiatric/Mental Health Nurse Practitioner
1154434TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sus Mental Health Programs, Inc. CurrentSince Apr 4, 2025 Accepting new patients
Orenda Psychiatry PLLC Psychiatric/Mental Health CurrentSince Jan 23, 2026 Accepting new patients
Palladia Inc CurrentSince Apr 4, 2025 Accepting new patients
Supportive Care I of Rhode Island PC CurrentSince Sep 1, 2025 Accepting new patients

Locations

100 Cambridge St
Ste 1400
Boston, MA 02114
Phone (617) 932-3813

75 Arlington St
Ste 500
Boston, MA 02116
Phone (617) 274-8734

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1125 Fulton St
Ste 2
Brooklyn, NY 11238
Phone (347) 226-9025

177 E 122nd St
New York, NY 10035
Phone (212) 360-7116

177 E 122nd St
Fl 2
New York, NY 10035
Phone (212) 360-7116

463 Fashion Ave
Fl 17
New York, NY 10018
Phone 64656558165816

80 5th Ave
Ste 90310
New York, NY 10011

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1669820601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 PROVOST ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022828",
            "telephone_number": "508-345-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 PROSPECT AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023013323",
            "telephone_number": "508-345-4085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "398 Bellevue Ave",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "RI",
            "postal_code": "028406955",
            "country_code": "US",
            "telephone_number": "718-506-1115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 Adelphi Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029064119",
            "country_code": "US",
            "telephone_number": "718-506-1115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALCE",
        "first_name": "FABIENNE",
        "credential": "R.N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F405556-01",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2306543",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11030144",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1154434",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FABIENNE",
            "last_name": "CHIRAC",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.