Individual provider Active NPI

Susan Gelfer Ginsberg, PCNS

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Lincoln, RI
National Provider Identifier
1730299454
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
RN25713, PPNS00043 Issued in RI
Practice address
8 Blackstone Valley PL
2ND Floor
Lincoln, RI 02865-1145
Phone
(401) 334-1830
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X RN25713, PPNS00043 RI Primary

Addresses

Primary practice location

8 Blackstone Valley PL
2ND Floor
Lincoln, RI 02865-1145

Mailing address

15 Briarwood Dr
Barrington, RI 02806-3240
Phone (401) 245-0042

Other names 1

  • Susan Wallis Gelfer Former name

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
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
RN25713, PPNS00043RIMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Psychiatric Services, Inc. Psychiatric/Mental Health, Adult CurrentSince Jun 2, 2005 Accepting new patients
Angell Street Psychiatry LTD PastSince Mar 12, 1993 Accepting new patients

Locations

652 George Washington Hwy
Unit 400
Lincoln, RI 02865
Phone (401) 334-1830

8 Blackstone Valley Pl
Fl 2
Lincoln, RI 02865
Phone (401) 334-1830

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730299454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BRIARWOOD DR",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028063240",
            "telephone_number": "401-245-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BLACKSTONE VALLEY PL",
            "address_2": "2ND FLOOR",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651145",
            "telephone_number": "401-334-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINSBERG",
        "first_name": "SUSAN",
        "middle_name": "GELFER",
        "credential": "PCNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "RI",
            "license": "RN25713,  PPNS00043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "GELFER",
            "middle_name": "WALLIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, RI

Sources for this page

Verify at the official NPI Registry.