Organization Active NPI

Vanguard Psychiatry and Wellness, LLC

  • Clinical Nurse Specialist
  • Providence, RI
National Provider Identifier
1982552899
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
Legal business name
VANGUARD PSYCHIATRY AND WELLNESS, LLC
Practice address
10 Dorrance St Ste 706
Providence, RI 02903-2014
Phone
(401) 447-4241
Fax
(401) 804-0401
NPI assigned
Mar 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

Name
Mr. Mozart Telles, PMHNPNPI 1295624047
Title
Owner
Phone
(401) 447-4241

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364S00000X Primary

Addresses

Primary practice location

10 Dorrance St Ste 706
Providence, RI 02903-2014

Mailing address

10 Dorrance St Ste 706
Providence, RI 02903-2014
Phone (401) 447-4241

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1773705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1982552899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DORRANCE ST STE 706",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029032014",
            "telephone_number": "401-447-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DORRANCE ST STE 706",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029032014",
            "telephone_number": "401-447-4241",
            "fax_number": "401-804-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGUARD PSYCHIATRY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-17",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "TELLES",
        "authorized_official_first_name": "MOZART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-447-4241",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.