CYNTHIA ROSENGARD


Address: 777 N Main St, Providence, RI 02904-5703
Phone: 4016391560

CYNTHIA ROSENGARD (NPI# 1124326699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124326699
Entity Type Individual
Full Name CYNTHIA ROSENGARD
Credential PH.D.
Practice Address 777 N Main St
Providence
RI 02904-5703
Practice Telephone 4016391560
Mailing Telephone 4016391560
Enumeration Date 2011-03-08
Last Update Date 2011-03-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PS00789 RI Behavioral Health & Social Service Providers

Office Location

Street Address 777 N MAIN ST
City PROVIDENCE
State RI
Zip Code 02904-5703

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City PROVIDENCE
Zip Code 02904

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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