Agnieszka Ewa Janicka, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD14699 Issued in RI

Practice address

593 Eddy St
Providence, RI 02903-4923

Phone

(401) 444-7442

Fax

(401) 444-7018

NPI assigned

Jun 29, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1679884217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-7442",
            "fax_number": "401-444-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-7442",
            "fax_number": "401-444-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANICKA",
        "first_name": "AGNIESZKA",
        "middle_name": "EWA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "MD14699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sripraharsha Srujan Jampana Raju
• Lynn Beth Janaway, APRN,BC
• Denise Janczynski, CRNA
• Barbara Nadia Jandasek, PH.D.
• Eun Ji Jang, MD
• Adam Janicki, M.D.
• Robert H Janigian Jr., MD
• Janine Galione, PHD, LLC
• Sumbal Ashraf Janjua, M.D.
• Matthew Dmitri Jankowich, M.D.

• Psychiatry Physician in Providence, RI
• Providers in Providence, RI by specialty
• Psychiatry Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.