Cynthia Allen Ebelacker, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Woonsocket, RI
NPI 1871697342 · NPPES record last updated Aug 25, 2025
Key facts
- NPI
- 1871697342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- APRN03536 (RI)
- Practice address
- 450 Clinton St
Woonsocket, RI 02895-3207 - Phone
- (401) 767-4100
- NPI assigned
- Sep 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in 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 |
|---|---|---|---|---|
| I20240322001120 | RI | Practitioner - Nurse Practitioner | 7810030004 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123065 | MA | MD | Registered Nurse |
| 435 | AK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thundermist Health Center | Current | Accepting new patients | |
| Thundermist Health Center | Current |
Accepting new patients | |
| Thundermist Health Center | Current |
Accepting new patients |
Locations
360 Kingstown Rd
Unit 101
Narragansett, RI 02882
Phone (401) 783-3334
1 River St
Wakefield, RI 02879
Phone (401) 783-0523
186 Providence St
West Warwick, RI 02893
Phone (401) 615-2800
25 John a Cummings Way
Ste 302
Woonsocket, RI 02895
450 Clinton St
Woonsocket, RI 02895
191 Social St
Woonsocket, RI 02895
Phone (401) 597-6500
25 John a Cummings Way
Woonsocket, RI 02895
Phone (401) 235-7310
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DCBEAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 123065 | MA | |
| Pediatric Nurse Practitioner | 363LP0200X | 435 | AK | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 435 | AK | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN03536 | RI | Yes |
Addresses
Primary practice location
450 Clinton St
Woonsocket, RI 02895-3207
Mailing address
450 Clinton St
Woonsocket, RI 02895-3207
Other practice location 1
1407 W 31st Ave
Suite 201
Anchorage, AK 99503-3678
Phone (907) 646-9948
Other practice location 2
360 Kingstown Rd Unit 101
Narragansett, RI 02882-3258
Phone (401) 789-6492
Other practice location 3
1 River St
Wakefield, RI 02879-3214
Phone (401) 783-0523
Other practice location 4
186 Providence St
West Warwick, RI 02893-2508
Phone (401) 615-2800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP04357 | Medicaid | AK | |
| NP04351 | Medicaid | AK |
Other names
- Cynthia Ann Allen
Other providers in Woonsocket, RI
- Brian Duval
- Mary F. Dwyer
- Curtis Earl Dyer
- Stephanie Ann Earle
- Cindy Marie Eason
- Vivian Echeverria Quiroga
- Eden Friendly Operations LLC
- Edward P Andersen MD LTD
- Andrew Egan
- Nancy Egelhofer
All providers in Woonsocket, 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 Aug 25, 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.