Individual provider Active NPI

Roseanne C Dolan, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cranston, RI
National Provider Identifier
1801904263
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN02098 Issued in RI
Practice address
2100 Broad St
Cranston, RI 02905
Phone
(401) 213-8841
NPI assigned
Aug 27, 2006
Last updated
Apr 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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 APRN02098 RI Primary

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

470 Washington St
Norwood, MA 02062-2337
Phone (781) 329-4774

Other practice location 3

980 990 Washington St
Suite 209
Dedham, MA 02026
Phone (781) 329-4774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210927000223 MA Practitioner - Nurse Practitioner 2668421595 Practice locations: Norwood, MA
I20250506003291 RI Practitioner - Nurse Practitioner 2668421595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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.Group PAC ID 5294173464, 90 clinicians

Practice addresses (Care Compare)

989 Reservoir Ave
Suite 101
Cranston, RI 02910-5138
Phone (401) 572-3313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN02098RIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Psychotherapy & Medication Management, LLC Clinical CurrentSince May 19, 2024 Accepting new patients
Child and Family Psychiatry, Inc. Clinical CurrentSince Mar 8, 2025 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

  • Direct secure messaging: lifestancehealth.roseannedolan@151046.advancedmd-direct.com

Organizations & group practices 3

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": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1801904263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HAVILEND ST",
            "city": "WOLLASTON",
            "state": "MA",
            "postal_code": "021703511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 BROAD ST",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "02905",
            "telephone_number": "401-213-8841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Broad St",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "02905",
            "country_code": "US",
            "telephone_number": "401-213-8841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "470 Washington St",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "MA",
            "postal_code": "020622337",
            "country_code": "US",
            "telephone_number": "781-329-4774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "980 990 Washington St",
            "address_2": "Suite 209",
            "address_purpose": "LOCATION",
            "city": "Dedham",
            "state": "MA",
            "postal_code": "02026",
            "country_code": "US",
            "telephone_number": "781-329-4774",
            "fax_number": "781-329-9153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLAN",
        "first_name": "ROSEANNE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-27",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN02098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.