LINCOLN PSYCHIATRIC SERVICES, INC. (NPI# 1194943845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194943845 |
| Entity Type | Organization |
| Organization Name | LINCOLN PSYCHIATRIC SERVICES, INC. |
| Practice Address |
652 George Washington Hwy Suite 400 Lincoln RI 02865-4267 |
| Practice Telephone | 4013341830 |
| Practice Fax Number | 4013341833 |
| Mailing Telephone | 4013341830 |
| Mailing Fax Number | 4013341833 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2010-09-16 |
| Authorized Official Name | DR. WALTER D FITZHUGH III (PRESIDENT) |
| Authorized Official Telephone | 4013341830 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
78755 | MA | Allopathic & Osteopathic Physicians |
| N | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
PPNS00043 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
MD09313 | RI | Allopathic & Osteopathic Physicians |
| Street Address |
652 GEORGE WASHINGTON HWY SUITE 400 |
| City | LINCOLN |
| State | RI |
| Zip Code | 02865-4267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518942267 | Sarah Lilyanne Xavier | Psychiatry & Neurology | 652 George Washington Hwy, Suite 400, Lincoln, RI 02865-4330 | 2005-12-14 |
| 1619414059 | Melissa Lindsey | Counselor | 652 George Washington Hwy, Suite 102, Lincoln, RI 02865-4330 | 2017-01-24 |
| 1285025437 | Anchor Memory Clinic, Inc | Counselor | 652 George Washington Hwy, Suite 102, Lincoln, RI 02865-4330 | 2015-02-10 |
| 1023443694 | Stephanie Santos-spencer | Marriage & Family Therapist | 652 George Washington Hwy, 102, Lincoln, RI 02865-4330 | 2013-09-13 |
| 1609159219 | Wellness Psychiatric Services | Clinic/Center | 652 George Washington Hwy, Suite 400, Lincoln, RI 02865-4330 | 2011-09-21 |
| 1790074441 | Amy Creegan | Counselor | 652 George Washington Hwy, Lincoln, RI 02865-4330 | 2011-04-04 |
| 1134449499 | Katherine Weber | Counselor | 652 George Washington Hwy, Suite 102, Lincoln, RI 02865-4330 | 2010-06-09 |
| 1427297795 | Anchor Counseling Center | Social Worker | 652 George Washington Hwy, Suite 102, Lincoln, RI 02865-4330 | 2009-02-10 |
| 1053526798 | Anabela Gouveia Araujo | Counselor | 652 George Washington Hwy, Suite 102, Lincoln, RI 02865-4330 | 2007-05-14 |
| 1942235122 | Samuel Louis Ciotola Jr. | Marriage & Family Therapist | 652 George Washington Hwy, Suite 102, Lincoln, RI 02865-4330 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346749868 | Ckri Incorporated | In Home Supportive Care | 1525 Old Louisquissett Pike, C201, Lincoln, RI 02865 | 2018-02-10 |
| 1053824805 | Daniel Boulanger | Specialist/Technologist | 1762 Louisquisset Pike, Lincoln, RI 02865 | 2017-11-14 |
| 1013449677 | Daniel Gardner | Physical Therapist | 618 George Washington Hwy, Lincoln, RI 02865 | 2017-03-31 |
| 1801335138 | Lucille Ellen Plasse | Registered Nurse | 19 Old Great Road, Lincoln, RI 02865 | 2017-02-20 |
| 1558752014 | Northern Rhode Island Cognitive Behavioral Therapy Inc | Social Worker | 640 George Washington Hwy Ste 103, Lincoln, RI 02865 | 2015-02-05 |
| 1528313004 | Sandra Faria | Counselor | 1525 Old Louisquisset Pike Ste B104, Lincoln, RI 02865 | 2012-07-19 |
| 1982832671 | Deborah F Katcher-buckley | Nurse Practitioner | 2 Wake Robin Rd Unit 201, Lincoln, RI 02865 | 2009-07-01 |
| 1558541011 | Dawn Marie Maguire | Social Worker | 640 George Washington Hwy Ste, Bdg B, Ste 103, Lincoln, RI 02865 | 2007-11-13 |
| 1477675262 | Rhode Island Hospital | Internal Medicine | 701 George Washington Hwy Ste 100, Lincoln, RI 02865 | 2007-04-04 |
| 1083789218 | Thomas Patrick Hines | Pediatrics | 6 Blackstone Valley Place Suite 306b, Lincoln, RI 02865 | 2006-11-22 |
| Find all providers in zip 02865 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659868578 | Paul Gerard Organ | Psychiatry & Neurology | 801 W Prospector Pl Bldg 1, Lincoln, NE 68522-1970 | 2018-04-16 |
| 1518973148 | Walter Dulany Fitzhugh IIi | Psychiatry & Neurology | 8 Blackstone Valley Pl, Lincoln, RI 02865-1145 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720040728 | Michael C Coburn | Psychiatry & Neurology | 1950 Tower Hill Rd, North Kingstown, RI 02852-6639 | 2006-04-05 |
| 1205259793 | Kevin E Baill, Md and Associates, LLC | Psychiatry & Neurology | 345 Blackstone Blvd, Providence, RI 02906-4800 | 2014-02-04 |
| 1649281007 | Robert Michael Swift | Psychiatry & Neurology | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2006-08-11 |
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| 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.