OPAL BEHAVIORAL HEALTH NPI 1851098479

NPI Information

NPI: 1851098479
Provider Name: OPAL BEHAVIORAL HEALTH
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
383 W FOUNTAIN ST STE 103
PROVIDENCE, RI
ZIP 02903
Phone: (401) 217-9377
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OPAL BEHAVIORAL HEALTH is a psychiatric/mental health nurse practitioner in Providence, RI. OPAL BEHAVIORAL HEALTH NPI is 1851098479. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

383 W FOUNTAIN ST STE 103
PROVIDENCE, RI
ZIP 02903-515
Phone: (401) 217-9377
Fax: (401) 200-3166

The provider's authorized official is Susanna Draighan .
The authorized official title is Owner and has the following contact phone number (401) 217-9377.

The enumeration date for this NPI number is 2/14/2023 and was last updated on 4/5/2023.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			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	RN2327944	OTHER	MASSACHUSETTS	BOARD OF NURSING
2	APRN01685	OTHER	RHODE ISLAND	BOARD OF NURSING

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: 5/5/2024

NPI Synchronization or Removal

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