RISA WEISBERG (NPI# 1922363480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922363480 |
| Entity Type | Individual |
| Full Name | RISA WEISBERG |
| Credential | PHD |
| Practice Address |
164 Summit Ave Fain Blding Providence RI 02906-2853 |
| Practice Telephone | 4017934636 |
| Practice Fax Number | 4017934639 |
| Mailing Telephone | 4017934636 |
| Mailing Fax Number | 4017934639 |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2012-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS00741 | RI | Behavioral Health & Social Service Providers |
| Street Address |
164 SUMMIT AVE FAIN BLDING |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-2853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558369512 | Josephine Salhab | Physician Assistant | 164 Summit Ave, Rm C70, Providence, RI 02906-2853 | 2005-07-13 |
| 1619519865 | Sarah Mcnerney | Physician Assistant | 164 Summit Ave, Providence, RI 02906-2853 | 2019-10-09 |
| 1831743095 | Tracy Lynn Carraggi | Nurse Practitioner | 164 Summit Ave, Providence, RI 02906-2853 | 2019-07-26 |
| 1689233975 | Nicole Parascandolo | Nurse Practitioner | 164 Summit Ave, Providence, RI 02906-2894 | 2019-06-10 |
| 1164992558 | Lisha Andrew | Dietitian, Registered | 164 Summit Ave, Providence, RI 02906-2894 | 2018-11-28 |
| 1689156242 | Monique Coley | Physician Assistant | 164 Summit Ave, Providence, RI 02906-2894 | 2018-08-30 |
| 1235615006 | Sameh Mohamed | Internal Medicine | 164 Summit Ave, Providence, RI 02906-2894 | 2018-07-16 |
| 1578058087 | Noor N Safadi | Physician Assistant | 164 Summit Ave, Providence, RI 02906-2853 | 2018-06-27 |
| 1356847172 | Heidi Jimenez | Nurse Practitioner | 164 Summit Ave, Providence, RI 02906 | 2018-04-02 |
| 1831694439 | Laura Canavan | Nurse Practitioner | 164 Summit Ave, Providence, RI 02906 | 2018-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245175 | Birdsong Traditional Medicine, LLC | Acupuncturist | 148 Waterman St. Ground Level, Providence, RI 02906 | 2020-08-13 |
| 1881218071 | Madison Pomerantz | Psychiatry & Neurology | 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 | 2020-06-03 |
| 1316453855 | Ellen Van Ingen Darling | Psychologist | 285 Governor St Ste 250, Providence, RI 02906 | 2017-12-20 |
| 1275063919 | Marissa Martz | Psychiatry & Neurology | 345 Blackstone Blvd., Providence, RI 02906 | 2017-06-15 |
| 1235663220 | Alena Haltzman | Counselor | 223 Summit Ave, Providence, RI 02906 | 2017-04-17 |
| 1669823399 | Kathryn Fleming-ives LLC | Psychiatry & Neurology | 355 Hope St Unit 1, Providence, RI 02906 | 2016-06-23 |
| 1134573389 | Sarah E. Kramer | Psychiatry & Neurology | Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 | 2016-04-13 |
| 1538534201 | Laura Anne Buss | Social Worker | 55 Hope St., Providence, RI 02906 | 2015-12-07 |
| 1700289360 | Tinatin Surguladze | Counselor | 205 Waterman St Suite 106, Providence, RI 02906 | 2014-09-26 |
| 1467851519 | Jamila Allouane | Social Worker | 120 Wayland Avenue Suite 2, Providence, RI 02906 | 2014-08-14 |
| Find all providers in zip 02906 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225033 | Julia Michelle Kamenetsky | Psychologist | 1155 Westminster St Ste 206, Providence, RI 02909-1140 | 2020-04-29 |
| 1801430509 | Concentric Psychological Services PC | Psychologist | 205 Waterman St Ste 106, Providence, RI 02906-4313 | 2019-11-05 |
| 1073094181 | Frederick Psychological Services, LLC | Psychologist | 2 Regency Plz Ste 18, Providence, RI 02903-3143 | 2018-08-27 |
| 1316453855 | Ellen Van Ingen Darling | Psychologist | 285 Governor St Ste 250, Providence, RI 02906 | 2017-12-20 |
| 1255865218 | Carly Michelle Goldstein | Psychologist | 196 Richmond St, Providence, RI 02903-4212 | 2017-04-17 |
| 1831505163 | Von Marie Rodriguez-guzman | Psychologist | Coro West Building, One Hoppin Street, Room 2.062, Providence, RI 02903 | 2014-07-08 |
| 1407262058 | Theresa Morgan | Psychologist | 593 Eddy St, Potter Bldg 2nd Floor, Dept of Psychiatry, Rhode Island Hospital, Providence, RI 02903 | 2014-07-03 |
| 1871930875 | Bernardine Pinto | Psychologist | 164 Summit Ave. Coro West, Suite 309, Miriam Hospital, Cbpm, Providence, RI 02906 | 2013-05-30 |
| 1619240009 | Shirley Yen | Psychologist | 700 Butler Dr, Providence, RI 02906-4871 | 2012-02-15 |
| 1639440449 | Sasha Lambert | Psychologist | 49 Pavilion Ave Ste 105, Providence, RI 02905-1534 | 2012-01-25 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02906 |
Please comment or provide details below to improve the information on RISA WEISBERG.
| 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.