Michael C Souza, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

00446 Issued in RI

Practice address

1275 Wampanoag TRL
Riverside, RI 02915-1217

Phone

(401) 437-0120

Fax

(401) 424-4155

NPI assigned

Feb 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ccare@msouza.hin2.us

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.

• Dr Michael C Souza, Inc

  • Family Medicine Physician
  • East Providence, RI
  • NPI 1114082591
  NPD Authorized official
• New Perspective Psychiatry and Counseling, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • East Providence, RI
  • NPI 1548951171
  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1740254150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 WAMPANOAG TRL",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029151217",
            "telephone_number": "401-437-0120",
            "fax_number": "401-424-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 WAMPANOAG TRL",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029151217",
            "telephone_number": "401-437-0120",
            "fax_number": "401-424-4155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Industrial Park Rd",
            "address_purpose": "LOCATION",
            "city": "Taunton",
            "state": "MA",
            "postal_code": "027807395",
            "country_code": "US",
            "telephone_number": "508-916-2282",
            "fax_number": "508-916-2315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUZA",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "RI",
            "license": "00446",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "00446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Smith, RN
• Matthew John Smith, LICSW
• Monissa J. Solberg, MD
• Patricia A Song, M.D.
• Maria A. Soriano Pisaturo, M.D.
• John Sperzel, LICSW
• SRB Systems LLC
• Erica Staab, RN
• Lindsay Stager, PHD
• Christina Stanley

• Family Medicine Physician in Riverside, RI
• Providers in Riverside, RI by specialty
• Family Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.