MR. MARCEL A TRISVAN (NPI# 1780805283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780805283 |
| Entity Type | Individual |
| Full Name | MR. MARCEL A TRISVAN |
| Credential | LCDP |
| Practice Address |
Codac Providence 349 Huntington Ave Providence RI 02909 |
| Mailing Address |
31 Nellie St Providence RI 02904 |
| Practice Telephone | 4019421450 |
| Mailing Telephone | 4012700000 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCDP-352 | RI | Behavioral Health & Social Service Providers |
| Street Address |
CODAC PROVIDENCE 349 HUNTINGTON AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851512495 | Karen E Maine | Counselor | Codac Providence, 349 Huntington Ave, Providence, RI 02909 | 2007-05-01 |
| 1215158860 | Christine Barrett | Counselor | Codac Providence, 349 Huntington Ave, Providence, RI 02909 | 2007-05-01 |
| 1386865954 | Fred M Pierce | Counselor | Codac Providence, 349 Huntington Ave, Providence, RI 02909 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578021754 | Roberta Bellas Portugal | Registered Nurse | Behave Care, 188 Valley St, Providence, RI 02909 | 2019-03-07 |
| 1912137324 | Catherine Elaine Tuttle | Social Worker | 623 Atwells Avenue, Suite 201, Providence, RI 02909 | 2009-07-20 |
| 1477736452 | City Dental, LLC | Dentist | 314f Pocasset Avenue, Providence, RI 02909 | 2007-12-12 |
| 1245449651 | Walter R. Vandyck | Occupational Therapist | Springfield Middle School, Providene School Department, 152 Springfield St, Providence, RI 02909 | 2007-05-22 |
| 1215153945 | Codac Inc | Peer Specialist | 349 Huntington Ave, Codac Providence, Providence, RI 02909 | 2007-04-18 |
| 1316076342 | Mulak Chiropractic Center Inc | Chiropractor | 411 Broadway, Providence, RI 02909 | 2007-03-05 |
| 1710042742 | Michael Antonio Pensa | Chiropractor | 45 Eagle St Bld J Unit 100, Providence, RI 02909 | 2006-12-27 |
| 1780768234 | Providence Community Action | Case Management | 662 Hartford Avenue, Providence, RI 02909 | 2006-10-24 |
| 1881629608 | Cora Brigid Mayer | Counselor | 623 Atwells Ave., Communities for People, Inc., Providence, RI 02909 | 2006-07-11 |
| 1205826997 | Paul A De Cesare | Optometrist | 354 Broadway, Providence, RI 02909 | 2005-10-25 |
| Find all providers in zip 02909 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1952873317 | Better Care Transport LLC | Counselor | 448 Public St, Providence, RI 02907-1223 | 2018-12-26 |
| 1407234172 | David Lee Russell Jr. | Counselor | 60 Comstock Ave, Providence, RI 02907-1206 | 2015-05-13 |
| 1558755082 | Souad Cheteyan | Counselor | 315 Mount Pleasant Ave, Providence, RI 02908-3836 | 2015-03-23 |
| 1588081533 | Nicole Ann Hutto | Counselor | 20 Vandieman Ave, Providence, RI 02909-5560 | 2014-03-27 |
| 1396050597 | Daniel D Strother | Counselor | 66 Pavilion Ave., Providence, RI 02905 | 2010-08-11 |
| 1902137748 | Lux Maria Taylor | Counselor | 662 Hartford Ave, Providence, RI 02909-5917 | 2010-01-19 |
| 1316063829 | Digna Marrero | Counselor | 16 Borinquen St, 662 Hartford Ave., Providence, RI 02905-3202 | 2007-03-22 |
| 1467554634 | George Edward Benedict | Counselor | Providence Vamc, 830 Chalkstone Avenue, Providence, RI 02908-4799 | 2006-09-01 |
| 1104847946 | The Providence Center Inc | Counselor | 528 North Main Street, Providence, RI 02904-5759 | 2006-07-21 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02909 |
Please comment or provide details below to improve the information on MR. MARCEL A TRISVAN.
| 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.