Individual provider Active NPI

Pamela J Plucinski, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • West Warwick, RI
National Provider Identifier
1780610170
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN04750 Issued in RI
Practice address
1300 Division Rd Ste 301
West Warwick, RI 02893-7558
Phone
(401) 369-9224
Fax
(401) 369-9275
NPI assigned
Jun 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X PPNS00068 RI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R236222 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN04750 RI Primary

Addresses

Primary practice location

1300 Division Rd Ste 301
West Warwick, RI 02893-7558

Mailing address

1075 Smith St Ste 2
Providence, RI 02908-2700

Other practice location 1

593 Eddy St
Providence, RI 02903-4923
Phone (401) 432-1000

Other practice location 2

1443 Hartford Ave
Johnston, RI 02919-3224
Phone (401) 273-8100

Other practice location 3

2 Dudley St
Providence, RI 02905-3236
Phone (401) 444-8361

Other names 1

  • Pamela McCord Former name

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140618000507 RI Practitioner - Certified Clinical Nurse Specialist (CNS) 9032117130 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN04750RIMDPsychiatric/Mental Health Nurse Practitioner
PPNS00068RIMDChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Behavioral Health Associates Inc CurrentSince Nov 1, 2025 Accepting new patients
Gateway Healthcare Inc CurrentSince Apr 13, 2026 Accepting new patients

Locations

1598 S County Trl
Ste 102
East Greenwich, RI 02818
Phone (401) 369-9224

1443 Hartford Ave
Providence, RI 02919
Phone (401) 273-8100

1075 Smith St
Ste 2
Providence, RI 02908
Phone (401) 369-9224

593 Eddy St
Providence, RI 02903

1011 Veterans Memorial Pkwy
Riverside, RI 02915
Phone (401) 432-1000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1780610170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 SMITH ST STE 2",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029082700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 DIVISION RD STE 301",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028937558",
            "telephone_number": "401-369-9224",
            "fax_number": "401-369-9275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "593 Eddy St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034923",
            "country_code": "US",
            "telephone_number": "401-432-1000",
            "fax_number": "401-432-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1443 Hartford Ave",
            "address_purpose": "LOCATION",
            "city": "Johnston",
            "state": "RI",
            "postal_code": "029193224",
            "country_code": "US",
            "telephone_number": "401-273-8100",
            "fax_number": "401-861-8696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Dudley St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029053236",
            "country_code": "US",
            "telephone_number": "401-444-8361",
            "fax_number": "401-444-3288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLUCINSKI",
        "first_name": "PAMELA",
        "middle_name": "J",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "RI",
            "license": "PPNS00068",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R236222",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN04750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "MCCORD",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Warwick, RI

Sources for this page

Verify at the official NPI Registry.