Individual provider Active NPI

David P Lacey, PSY.D-LMHC

  • Mental Health Counselor
  • Cranston, RI
National Provider Identifier
1710008743
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC00214 Issued in RI
Practice address
989 Reservoir Ave Ste 101
Cranston, RI 02910-5138
Phone
(401) 572-3313
NPI assigned
Apr 3, 2007
Last updated
Mar 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHC00214 RI Primary

Addresses

Primary practice location

989 Reservoir Ave Ste 101
Cranston, RI 02910-5138

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Phone (401) 572-3313

Other practice location 1

4705A Old Post Rd
South Shore Mental Health Center
Charlestown, RI 02813-1819
Phone (401) 363-7705

Other identifiers 3

IdentifierTypeStateIssuer
DL57324MedicaidRI
374867OtherRIMHN
1710008743OtherRIBLUE CROSS BLUE SHIELD OF RHODE ISLAND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240704000394 RI Practitioner - Mental Health Counselor 7719421445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Child and Family Psychiatry, Inc.Group PAC ID 5294173464, 90 clinicians

Practice addresses (Care Compare)

989 Reservoir Ave
Suite 101
Cranston, RI 02910-5138
Phone (401) 572-3313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Psychiatry, Inc. Mental Health CurrentSince Jun 1, 2024 Accepting new patients
South Shore Center Inc Mental Health PastSince Dec 21, 2009 Accepting new patients
Gateway Healthcare Inc PastSince Jul 1, 2013 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

989 Reservoir Ave
Ste 101
Cranston, RI 02910
Phone (401) 572-3313

1035 Post Rd
Warwick, RI 02888
Phone (401) 941-2830

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.davidlacey@151046.advancedmd-direct.com

Organizations & group practices 3

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1710008743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630",
            "telephone_number": "401-572-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 RESERVOIR AVE STE 101",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029105138",
            "telephone_number": "401-572-3313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4705A Old Post Rd",
            "address_2": "South Shore Mental Health Center",
            "address_purpose": "LOCATION",
            "city": "Charlestown",
            "state": "RI",
            "postal_code": "028131819",
            "country_code": "US",
            "telephone_number": "401-363-7705",
            "fax_number": "401-364-9104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACEY",
        "first_name": "DAVID",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "PSY.D-LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DL57324",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "374867",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF RHODE ISLAND",
            "identifier": "1710008743",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.