Pediatric Neurology, Inc.

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

7691 Issued in RI

Legal business name

PEDIATRIC NEUROLOGY, INC.

Practice address

2138 Mendon Rd
Unit 104
Cumberland, RI 02864-3834

Phone

(401) 334-0424

NPI assigned

Feb 14, 2007

Organization subpart

No

Name

Maria C. Younes, M.D.NPI 1205840659

Title

President

Phone

(401) 334-0424

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Claudia Younes, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Cumberland, RI
  • NPI 1205840659

  Neurology With Special Qualifications in Child Neurology, RI

  Medicare reassignment NPD Authorized official
• Andrea Younes, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Cumberland, RI
  • NPI 1255728481

  RI, Single Specialty

  Medicare reassignment NPD

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720121635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 MENDON RD",
            "address_2": "UNIT 104",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028643834",
            "telephone_number": "401-334-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 MENDON RD",
            "address_2": "UNIT 104",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028643834",
            "telephone_number": "401-334-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC NEUROLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNES",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-334-0424",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "RI",
            "license": "7691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PN44005",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ji Park
• Yolande A Patenaude-Lockett, NP
• Amanda G Patnaude
• Paul W. Santoro, Inc.
• Peak Physical Therapy, LLC
• Magda Pedraza, PH.D.
• Stephanie M Peduto, M.D.
• Jessica L Peipock, LICSW
• Jennifer Lynn Perreault
• Sarah Nichole Perry, COTA/L

• All providers in Cumberland, RI
• Neurology with Special Qualifications in Child Neurology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.