Roseanne C Dolan, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Cranston, RI
NPI 1801904263 · NPPES record last updated Apr 3, 2025
Key facts
- NPI
- 1801904263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- APRN02098 (RI)
- Practice address
- 2100 Broad St
Cranston, RI 02905 - Phone
- (401) 213-8841
- NPI assigned
- Aug 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Child and Family Psychiatry, Inc.
Practice addresses (Care Compare)
989 Reservoir Ave
Suite 101
Cranston, RI 02910-5138
Phone (401) 572-3313
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA, RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210927000223 | MA | Practitioner - Nurse Practitioner | 2668421595 | Practice locations: Norwood, MA |
| I20250506003291 | RI | Practitioner - Nurse Practitioner | 2668421595 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN02098 | RI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Family Psychiatry, Inc. | Clinical | Current |
Accepting new patients |
| Benchmark Psychotherapy & Medication Management, LLC | Clinical | Current |
Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
470 Washington St
Ste 22
Norwood, MA 02062
Phone (617) 835-9510
989 Reservoir Ave
Ste 101
Cranston, RI 02910
Phone (401) 572-3313
1035 Post Rd
Warwick, RI 02888
Phone (401) 941-2830
Interoperability endpoints
- lifestancehealth.roseannedolan@151046.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN02098 | RI | Yes |
Addresses
Primary practice location
2100 Broad St
Cranston, RI 02905
Mailing address
22 Havilend St
Wollaston, MA 02170-3511
Other practice location 1
2100 Broad St
Cranston, RI 02905
Phone (401) 213-8841
Other practice location 2
980 990 Washington St
Suite 209
Dedham, MA 02026
Phone (781) 329-4774
Other practice location 3
470 Washington St
Norwood, MA 02062-2337
Phone (781) 329-4774
Other providers in Cranston, RI
- Nicholas Dionizio
- Donna Dipippo
- Directions for Life Inc
- Discovery House
- Diversity Counseling LLC
- Erin L Dollarhide
- Teresa M Dombrowski
- Sarah Donfrancesco
- Donna Folcarelli & Associates, LLC
- Nathalia Doobay
All providers in Cranston, RI · Psychiatric/Mental Health Nurse Practitioner in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.