Susanne G. Defedele, PCNS

Primary specialty

Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0807X

License

PPNS00002 Issued in RI

Practice address

101 Higginson Ave
Suite 107 D
Lincoln, RI 02865-2732

Phone

(401) 723-7007

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952484545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HIGGINSON AVE",
            "address_2": "SUITE 107 D",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028652732",
            "telephone_number": "401-723-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HIGGINSON AVE",
            "address_2": "SUITE 107 D",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028652732",
            "telephone_number": "401-723-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFEDELE",
        "first_name": "SUSANNE",
        "middle_name": "G.",
        "credential": "PCNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "RI",
            "license": "PPNS00002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP OF RI",
            "identifier": "411680",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF RI",
            "identifier": "27266-5",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD51376",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela J. Daggett, FNP
• Nya Dasilva
• David Rajabiun & Associates Counseling LLC
• Hannah Davis, MS
• Kenzi Defaria, LICSW
• Ana Raquel Degrazia, NURSE PRACTITIONER
• Joseph Degros
• Daisy Dejesus
• Nancy Delsesto
• Linda A Deluca, MD

• Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in Lincoln, RI
• Providers in Lincoln, RI by specialty
• Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.