Individual provider Active NPI

Elkins Guzman

  • Psychiatry Physician
  • N Providence, RI
National Provider Identifier
1679952451
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS019870 Issued in PA
Practice address
200 High Service Ave
N Providence, RI 02904-5113
Phone
(401) 456-3000
NPI assigned
May 26, 2015
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OS019870 PA Primary

Addresses

Primary practice location

200 High Service Ave
N Providence, RI 02904-5113

Mailing address

200 High Service Ave
N Providence, RI 02904-5113
Phone (401) 456-3000

Other practice location 1

825 Chalkstone Ave
Providence, RI 02908-4728
Phone (401) 456-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, RI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200129000006 PA Practitioner - Psychiatry 9830525575 Reassigns benefits to 3 organizations
I20210825000162 RI Practitioner - Psychiatry 9830525575 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Rowan University School of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prospect Chartercare Sjhsri LLCGroup PAC ID 7315179314, 32 clinicians

Practice addresses (Care Compare)

200 High Service Ave
Fatima Hospital Psychiatric/Social Services
N Providence, RI 02904-5113
Phone (401) 456-3496

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Diakon Child, Family & Community Ministries CurrentSince Jun 1, 2021 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jan 8, 2020 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jan 8, 2020 Accepting new patients
Chartercare Our Lady of Fatima Hospital CurrentSince May 28, 2025 Accepting new patients
Prospect Chartercare RWMC, LLC CurrentSince Aug 18, 2024 Accepting new patients
Prospect Chartercare RWMC, LLC CurrentSince Aug 18, 2024 Accepting new patients
Chartercare Our Lady of Fatima Hospital Psychiatry CurrentSince May 28, 2025 Accepting new patients
Diakon Child, Family and Community Ministries CurrentSince Jun 1, 2021 Accepting new patients
Resources for Human Development, Inc. CurrentSince Mar 1, 2021 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Prospect Chartercare Sjhsri, LLC Psychiatry CurrentSince Jul 1, 2021 Accepting new patients
Chartercare Roger Williams Medical Center CurrentSince May 30, 2025 Accepting new patients
Family Practice & Counseling Services Network, Inc. CurrentSince Mar 1, 2021 Accepting new patients
Diakon Child, Family & Community Ministries Current Accepting new patients
Prospect Chartercare Sjhsri, LLC CurrentSince Jul 1, 2021 Accepting new patients
Family Practice & Counseling Services Network, Inc. Past Accepting new patients
Prospect Chartercare Sjhsri, LLC Past Accepting new patients

Locations

850 W Lancaster Ave
Ste 2
Bryn Mawr, PA 19010
Phone (484) 383-0038

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1 Medical Center Blvd
Ste 407
Chester, PA 19013
Phone (610) 619-7413

5000 Ritter Rd
Ste 101
Mechanicsburg, PA 17055

2300 W Master St
Philadelphia, PA 19121
Phone (267) 687-1172

4700 Wissahickon Ave
Bldg D
Philadelphia, PA 19144
Phone (215) 843-9720

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

435 W 4th St
Williamsport, PA 17701
Phone (570) 327-4913

2 Wake Robin Rd
Lincoln, RI 02865
Phone (401) 333-1747

200 High Service Ave
North Providence, RI 02904
Phone (401) 456-3000

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/diakon/r4/

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1679952451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HIGH SERVICE AVE",
            "city": "N PROVIDENCE",
            "state": "RI",
            "postal_code": "029045113",
            "telephone_number": "401-456-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HIGH SERVICE AVE",
            "city": "N PROVIDENCE",
            "state": "RI",
            "postal_code": "029045113",
            "telephone_number": "401-456-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Chalkstone Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029084728",
            "country_code": "US",
            "telephone_number": "401-456-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "ELKINS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-26",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS019870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Providence, RI

Sources for this page

Verify at the official NPI Registry.