Individual provider Active NPI

Christina Scully, M.D.

  • Psychiatry Physician
  • Cranston, RI
National Provider Identifier
1881989879
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD14647 Issued in RI
Practice address
1170 Pontiac Ave
Cranston, RI 02920-7944
Phone
(401) 500-0424
NPI assigned
Jun 17, 2011
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD14647 RI Primary

Addresses

Primary practice location

1170 Pontiac Ave
Cranston, RI 02920-7944

Mailing address

47 Danielson Pike
North Scituate, RI 02857-1892
Phone (401) 268-5333

Other practice location 1

145 Pine Haven Shores Rd Ste 1191
Shelburne, VT 05482-7821
Phone (802) 899-0124

Other identifiers 3

IdentifierTypeStateIssuer
420018522OtherVTVT LICENSE
264562OtherMAMA LIMITED LICENSE
MD14647OtherRIRI FULL MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, VT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140929000726 RI Practitioner - Psychiatry 8123248085 Reassigns benefits to 4 organizations
I20251113002634 VT Practitioner - Psychiatry 8123248085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

47 Danielson Pike
North Scituate, RI 02857-1892

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD14647RIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South County Psychiatry LLC Psychiatry CurrentSince Dec 13, 2023 Accepting new patients
Rhode Island Hospital Psychiatry CurrentSince Jun 13, 2018 Accepting new patients
The Miriam Hospital Psychiatry CurrentSince Nov 19, 2016 Accepting new patients
The Miriam Hospital CurrentSince Nov 19, 2016 Accepting new patients
Rhode Island Hospital CurrentSince Nov 19, 2016 Accepting new patients
Rhode Island Hospital CurrentSince Nov 19, 2016 Accepting new patients
The Providence Center Psychiatry Past Accepting new patients

Locations

1170 Pontiac Ave
Cranston, RI 02920
Phone (401) 500-0424

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

420 Scrabbletown Rd
Ste A
North Kingstown, RI 02852
Phone (401) 268-5333

47 Danielson Pike
North Scituate, RI 02857
Phone (401) 258-5419

1125 N Main St
Providence, RI 02904
Phone (401) 793-2928

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

200 Corliss St
#1
Providence, RI 02904
Phone (401) 606-8530

245 Chapman St
Ste 300
Providence, RI 02905
Phone (401) 444-4741

593 Eddy St
Providence, RI 02903

593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280

145 Pine Haven Shores Rd
Ste 1191
Shelburne, VT 05482
Phone (401) 268-5333

Organizations & group practices 7

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": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1881989879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 DANIELSON PIKE",
            "city": "NORTH SCITUATE",
            "state": "RI",
            "postal_code": "028571892",
            "telephone_number": "401-268-5333",
            "fax_number": "855-268-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 PONTIAC AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029207944",
            "telephone_number": "401-500-0424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Pine Haven Shores Rd Ste 1191",
            "address_purpose": "LOCATION",
            "city": "Shelburne",
            "state": "VT",
            "postal_code": "054827821",
            "country_code": "US",
            "telephone_number": "802-899-0124",
            "fax_number": "855-268-5333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCULLY",
        "first_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-17",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "MD14647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VT LICENSE",
            "identifier": "420018522",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA LIMITED LICENSE",
            "identifier": "264562",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI FULL MEDICAL LICENSE",
            "identifier": "MD14647",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.