CERISSA BLANEY (NPI# 1528433489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528433489 |
| Entity Type | Individual |
| Full Name | CERISSA BLANEY |
| Credential | PH.D. |
| Practice Address |
375 Wampanoag Trl Riverside RI 02915-2232 |
| Mailing Address |
117 Ellenfield St Ste 101 Providence RI 02905-4541 |
| Practice Telephone | 4016494050 |
| Practice Fax Number | 4016494051 |
| Mailing Telephone | 4014446779 |
| Mailing Fax Number | 4014446912 |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS01518 | RI | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PY 9421 | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18 Maple Ave # 292, Barrington, RI 028063560 | 4012365222 |
| Street Address |
375 WAMPANOAG TRL |
| City | RIVERSIDE |
| State | RI |
| Zip Code | 02915-2232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417955071 | Marina F Rodriguez | Internal Medicine | 375 Wampanoag Trl, Suite 201, Riverside, RI 02915-2212 | 2005-07-08 |
| 1235789231 | Maxwell Hogue | Nurse Practitioner | 375 Wampanoag Trl, Riverside, RI 02915-2232 | 2019-09-12 |
| 1114574860 | Lindsey Harris | Physical Therapist | 375 Wampanoag Trl, Riverside, RI 02915-2232 | 2019-08-19 |
| 1447713680 | Kate M Guthrie | Psychologist | 375 Wampanoag Trl, Riverside, RI 02915-2232 | 2019-04-12 |
| 1386159069 | Aletheia Yuri Miyake Shen | Nurse Practitioner | 375 Wampanoag Trl, Riverside, RI 02915-2232 | 2017-12-04 |
| 1699223404 | Silver Fern Practice, LLC | Physical Therapist | 375 Wampanoag Trl, Suite 403, Riverside, RI 02915-2232 | 2016-09-21 |
| 1205231081 | Mary Whittenhall | Nurse Practitioner | 375 Wampanoag Trl, Suite 302b, Riverside, RI 02915-2232 | 2014-10-23 |
| 1649602863 | Amanda J. Fernandes | Internal Medicine | 375 Wampanoag Trl, Riverside, RI 02915 | 2013-07-30 |
| 1861749327 | Laura A. Massa | Nurse Practitioner | 375 Wampanoag Trl, Suite 202a, Riverside, RI 02915-2232 | 2012-08-14 |
| 1376821793 | Iva Neupane | Internal Medicine | 375 Wampanoag Trl, Suite 102, Riverside, RI 02915-2232 | 2011-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881101335 | Brown Medicine | Clinic/Center | 62-68 Amaral Street, East Providence, RI 02915 | 2018-01-05 |
| 1093245391 | Robyn Lee Cranson | Pharmacist | 1086 Willet Ave, Rite Aid Pharmacy, Riverside, RI 02915 | 2017-06-19 |
| 1548703622 | Rebecca Leigh Bejma | Registered Nurse | 100 Bullocks Ave, East Providence, RI 02915 | 2016-11-22 |
| 1568833408 | Riverside Smiles Theodore I Goldberg, Dmd PC & Associates | Dentist | 250 Wampanoag Trail Suite 103, Riverside, RI 02915 | 2015-10-19 |
| 1003165796 | Sandra Cairo | Registered Nurse | 125 Bayview Ave, Riverside, RI 02915 | 2012-09-10 |
| 1487916136 | East Bay Community Action Program | Peer Specialist | 100 Bullocks Point, Riverside, RI 02915 | 2012-06-08 |
| 1497041453 | Bethany Marie Goldberg | Nurse Practitioner | 38 Amaral Street, Riverside, RI 02915 | 2011-06-28 |
| 1790078947 | Matthew Lynch | Internal Medicine | 375 Wampanoag Trl Ste 302a, Riverside, RI 02915 | 2011-05-20 |
| 1679866206 | Jill Stone | Occupational Therapist | 57 Euclid Ave, East Providence, RI 02915 | 2011-05-16 |
| 1770884462 | Kristin F. Cadieux | Nurse Practitioner | 375 Wampanoag Trl Ste 102, Riverside, RI 02915 | 2010-11-11 |
| Find all providers in zip 02915 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821601451 | Joshua Craig | Psychologist | 1660 Chicago Ave Ste M17, Riverside, CA 92507-2033 | 2020-08-24 |
| 1487205506 | Inland Psychiatric Medical Group, Inc. | Psychologist | 4049 Brockton Ave, Riverside, CA 92501-3440 | 2019-09-20 |
| 1427606813 | New England Center for Pediatric Psychology | Psychologist | 109 Worcester Ave, Riverside, RI 02915-3409 | 2019-08-28 |
| 1881188845 | Theodore Earl Swigart Iv | Psychologist | 5499 Grassy Trail Dr, Riverside, CA 92504-1213 | 2018-06-21 |
| 1053836445 | James Charles Husen | Psychologist | 3068 Brockton Ave, Riverside, CA 92501-2325 | 2017-08-07 |
| 1447623657 | Adrian Michelle Camargo Rubly | Psychologist | 4344 Latham St Ste 120, Riverside, CA 92501-1773 | 2015-11-10 |
| 1427424464 | Lindsay Lauren Wray | Psychologist | 5005 Canyon Crest Dr, Riverside, CA 92507-7721 | 2015-08-13 |
| 1225451685 | David Jon Eagle | Psychologist | 6719 Coral Leaf Ln, Riverside, CA 92506-6213 | 2014-01-21 |
| 1609114933 | Martha Elizabeth O'donnell | Psychologist | 153 Lockwood Rd, Riverside, CT 06878-1920 | 2013-01-22 |
| 1700181385 | Roger Sheldon Tilton | Psychologist | 7177 Brockton Ave Ste 227, Riverside, CA 92506-2633 | 2011-01-13 |
| Find all providers in RIVERSIDE | ||||
Please comment or provide details below to improve the information on CERISSA BLANEY.
| 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.