LIGHTMIND PSYCHIATRY LLC NPI 1033944202

NPI Information

  • NPI: 1033944202
  • Provider Name: LIGHTMIND PSYCHIATRY LLC
  • Classification: Registered Nurse - 163WP0809X
  • Specialization: Psychiatric/Mental Health, Adult
  • Entity Type: Organization
  • Address: 1981 BROAD ST
    CRANSTON, RI
    ZIP 02905
  • Phone: (401) 859-3335

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NPI Details

LIGHTMIND PSYCHIATRY LLC is a psychiatric/mental health and adult registered nurse in Cranston, RI. LIGHTMIND PSYCHIATRY LLC NPI is 1033944202. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1981 BROAD ST
CRANSTON, RI
ZIP 02905-430
Phone: (401) 859-3335
Fax: (401) 246-4655

The provider's authorized official is Susan Gagnon .
The authorized official title is President and has the following contact phone number (401) 859-3335.

The enumeration date for this NPI number is 9/5/2024 and was last updated on 12/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0809XRegistered NursePsychiatric/Mental Health, AdultYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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