Mary Kathryn Cancilliere, MA/MS

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Practice address

25 Charles St
Barrington, RI 02806-3907

Phone

(401) 743-8904

NPI assigned

Feb 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Science

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1891329934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CHARLES ST",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028063907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CHARLES ST",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028063907",
            "telephone_number": "401-743-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANCILLIERE",
        "first_name": "MARY KATHRYN",
        "credential": "MA/MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Linda Buono, RN
• Susanna Burkhard
• Hollis Vale Burkhart, LMHC
• Elizabeth Burns, LICSW
• John Butler Jr.
• Kristen Candon, LMHC
• Frank Capizzo, MD.
• Mary A. Caplin, BSN RN CDOE
• Cardinal Counseling Center
• Lisa Carrera, RN

• Clinical Child & Adolescent Psychologist in Barrington, RI
• Providers in Barrington, RI by specialty
• Clinical Child & Adolescent Psychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.