Active NPI
Vanguard Psychiatry and Wellness, LLC
- Clinical Nurse Specialist
- Providence, RI
National Provider Identifier
1982552899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mozart Telles, PMHNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Clinical Nurse Specialist
- Providence, RI
- NPI 1295624047
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.