Baxter Behavioral Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

NPP37892 Issued in RI

Legal business name

BAXTER BEHAVIORAL HEALTH LLC

Practice address

1130 Ten Rod Rd Ste D101
North Kingstown, RI 02852-4161

Phone

(401) 267-4485

Fax

(401) 267-4534

NPI assigned

Oct 30, 2015

Last updated

Jun 5, 2024By 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

Ryan Patrick Baxter, PMHPN-BCNPI 1457769721

Title

Owner

Phone

(401) 267-4485

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 5

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.

• Ryan Patrick Baxter Sr., MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • North Kingstown, RI
  • NPI 1457769721

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Gabrielle Koussa, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • North Kingstown, RI
  • NPI 1629943048
  Medicare reassignment Care Compare group NPD
• Reagan Lynn McGee, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • North Kingstown, RI
  • NPI 1023702149
  Medicare reassignment Care Compare group NPD
• Nicole Marie Sanchez, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • North Kingstown, RI
  • NPI 1033867635
  Medicare reassignment Care Compare group NPD
• Monique E Tarulli, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • North Kingstown, RI
  • NPI 1942017413

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1972975845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 949",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028520610",
            "telephone_number": "401-267-4485",
            "fax_number": "401-267-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD STE D101",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524161",
            "telephone_number": "401-267-4485",
            "fax_number": "401-267-4534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5835 Post Rd",
            "address_2": "Unit 217",
            "address_purpose": "LOCATION",
            "city": "East Greenwich",
            "state": "RI",
            "postal_code": "028182174",
            "country_code": "US",
            "telephone_number": "401-267-4485",
            "fax_number": "401-267-4534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAXTER BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2024-06-05",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "BAXTER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-267-4485",
        "authorized_official_credential": "PMHPN-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "NPP37892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Baker, OTR/L
• Naomi Barnum, APRN
• Mark Steven Barone, LICSW
• Mark Barry, MA, LCDP
• Margaret R. Bartlett, LICSW, LCSW, MSW
• Kristen J Baxter, PT
• Ryan Patrick Baxter Sr., MSN, APRN, PMHNP-BC
• Shawn Patrick Baxter, OTRL
• Bayside Family Healthcare, Inc. (Bayside Family Healthcare Dental)
• Bayview Operator, LLC (Bayview Rehabilitation and Healthcare Center at Scalabrini)

• 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 Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.