MICHAEL CANCILLIERE LMHC NPI 1225064751

NPI Information

NPI: 1225064751
Provider Name: MICHAEL CANCILLIERE, LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1070 MAIN ST
PAWTUCKET, RI
ZIP 02860
Phone: (401) 727-6413
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Michael Cancilliere, LMHC is a mental health counselor in Pawtucket, RI. Michael Cancilliere, LMHC NPI is 1225064751. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1070 MAIN ST
PAWTUCKET, RI
ZIP 02860-847
Phone: (401) 727-6413

The enumeration date for this NPI number is 6/25/2006 and was last updated on 11/26/2007.

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
1	101YM0800X	Counselor	Mental Health	MHC00253	RHODE ISLAND	Yes

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
1	412738	OTHER	RHODE ISLAND	BLUE CHIP
2	MC57460	MEDICAID	RHODE ISLAND
3	29719-0	OTHER	RHODE ISLAND	BLUE CROSS
4	62-29029	OTHER	RHODE ISLAND	UNITED BEHAVIORAL HEALTH

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: 11/14/2023

NPI Synchronization or Removal

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