SUSANNA P ANGELILLO LMHC NPI 1548301070

NPI Information

NPI: 1548301070
Provider Name: SUSANNA P ANGELILLO, LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2 REGENCY PLZ STE 20
PROVIDENCE, RI
ZIP 02903
Phone: (401) 837-1285
Get Directions

Susanna P Angelillo, LMHC is a mental health counselor in Providence, RI. Susanna P Angelillo, LMHC NPI is 1548301070. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2 REGENCY PLZ STE 20
PROVIDENCE, RI
ZIP 02903-152
Phone: (401) 837-1285
Fax: (401) 942-4375

The enumeration date for this NPI number is 2/9/2007 and was last updated on 9/21/2015.

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	MHC00312	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	32284-1	OTHER		BLUE CROSS/BLUE SHIELD
2	600052724	OTHER		MAGELLAN
3	SA65487	MEDICAID	RHODE ISLAND
4	414055	OTHER		BLUE CHIP

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: 4/28/2024

NPI Synchronization or Removal

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