South County Wellness Group, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

PPNS00047 Issued in RI

Legal business name

SOUTH COUNTY WELLNESS GROUP, LLC

Practice address

1130 Ten Rod Rd
Suite E302
North Kingstown, RI 02852-4161

Phone

(401) 667-7079

NPI assigned

Dec 19, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cathy L Kennedy, PCNSNPI 1043260268

Title

Prescriptive Clinical Nurse Special

Phone

(401) 667-7079

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cathy Lynn Kennedy, PCNS

  • Psychiatric/Mental Health Nurse Practitioner
  • Warwick, RI
  • NPI 1043260268
  NPD (past) Authorized official

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861555690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD",
            "address_2": "SUITE E302",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524161",
            "telephone_number": "401-667-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD",
            "address_2": "SUITE E302",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524161",
            "telephone_number": "401-667-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COUNTY WELLNESS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESCRIPTIVE CLINICAL NURSE SPECIAL",
        "authorized_official_telephone_number": "401-667-7079",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PCNS"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "PPNS00010",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "PPNS00047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1043260268",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962597336",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South County Nursing and Rehabilitation Center
• South County Physicians and Surgeons Inc - Optical Shope
• South County Psychiatry LLC
• South County SNF Operations LLC (South County Nursing and Rehabilitation Center)
• South County Speech and Language Center
• Southern Ri Regional Collaborative
• Catherine Sowa, LMHC, QMHP
• Francis R Sparadeo, PH.D.
• Speech Solutions, LLC
• Shannon Spencer

• Psychiatric/Mental Health Nurse Practitioner in North Kingstown, RI
• Providers in North Kingstown, RI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.