Individual provider Active NPI

Christopher M Kalinyak, APRN, PMHNP-BC, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Kingston, RI
National Provider Identifier
1730168287
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN02379 Issued in RI
Practice address
6 Butterfield Rd
Kingston, RI 02881-1237
Phone
(401) 874-2246
NPI assigned
Jan 12, 2006
Last updated
Sep 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN02379 RI Primary

Addresses

Primary practice location

6 Butterfield Rd
Kingston, RI 02881-1237

Mailing address

6011 Ellerston Way Unit 821
Ave Maria, FL 34142-5184
Phone (330) 554-4122

Other identifiers 1

IdentifierTypeStateIssuer
2888148MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN02379RIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Counseling Solutions LLC CurrentSince Sep 1, 2022 Accepting new patients
State of Rhode Island PastSince Sep 24, 2023 Accepting new patients
Compass Family and Community Services Past Accepting new patients
Coleman Professional Services, Inc. Past Accepting new patients

Locations

3974 Boardman Canfield Rd
Canfield, OH 44406
Phone (330) 533-6767

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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1730168287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 ELLERSTON WAY UNIT 821",
            "city": "AVE MARIA",
            "state": "FL",
            "postal_code": "341425184",
            "telephone_number": "330-554-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BUTTERFIELD RD",
            "city": "KINGSTON",
            "state": "RI",
            "postal_code": "028811237",
            "telephone_number": "401-874-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALINYAK",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "APRN, PMHNP-BC, DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN02379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2888148",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, RI

Sources for this page

Verify at the official NPI Registry.