COLLABORATIVE CARE NETWORK LLC NPI 1205723558

NPI Information

  • NPI: 1205723558
  • Provider Name: COLLABORATIVE CARE NETWORK LLC
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 2 RICHMOND SQ STE 204
    PROVIDENCE, RI
    ZIP 02906
  • Phone: (401) 206-0130

Map and Directions

Get Directions

NPI Details

COLLABORATIVE CARE NETWORK LLC is a clinical psychologist in Providence, RI. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. COLLABORATIVE CARE NETWORK LLC NPI is 1205723558. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2 RICHMOND SQ STE 204
PROVIDENCE, RI
ZIP 02906-135
Phone: (401) 206-0130

The provider's authorized official is Fraynelis Y Andujar .
The authorized official title is Co-founder / Clinician and has the following contact phone number (401) 749-4821.

The enumeration date for this NPI number is 6/19/2025 and was last updated on 6/19/2025.

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
11041C0700XSocial WorkerClinicalNo
2103TC0700XPsychologistClinicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11548601347OTHERMASSACHUSETTSNPPES
21750072740OTHERRHODE ISLANDNPPES
31184005456OTHERMASSACHUSETTSNPPES

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI