GREGG M ETTER (NPI# 1962409649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962409649 |
| Entity Type | Individual |
| Full Name | GREGG M ETTER |
| Credential | MD |
| Practice Address |
2756 Post Rd Warwick RI 02886-3003 |
| Mailing Address |
825 Chalkstone Ave Providence RI 02908-4728 |
| Practice Telephone | 4016916000 |
| Practice Fax Number | 4017387718 |
| Mailing Telephone | 4014562363 |
| Mailing Fax Number | 4014566744 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2010-01-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
MD08688 | RI | Behavioral Health & Social Service Providers |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD08688 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 7004198 | 05 |
| Street Address |
2756 POST RD |
| City | WARWICK |
| State | RI |
| Zip Code | 02886-3003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164030078 | Sara Santilli | Registered Nurse | 2756 Post Rd, Warwick, RI 02886-3077 | 2020-07-16 |
| 1457969545 | Christopher Moses | Registered Nurse | 2756 Post Rd, Warwick, RI 02886-3077 | 2020-07-15 |
| 1033731427 | Andrew J Bairos | Registered Nurse | 2756 Post Rd, Warwick, RI 02886-3077 | 2020-05-08 |
| 1336770353 | Samantha Stambach | Social Worker | 2756 Post Rd, Warwick, RI 02886-3003 | 2020-01-29 |
| 1699326611 | Corinne A Cramer | Counselor | 2756 Post Rd, Warwick, RI 02886 | 2019-09-20 |
| 1568011963 | Amanda G Cote | Social Worker | 2756 Post Rd, Warwick, RI 02886 | 2019-09-09 |
| 1154876829 | Julie Hendrickson | Registered Nurse | 2756 Post Rd, Warwick, RI 02886-3003 | 2016-08-23 |
| 1225583909 | Linda Mambro | Social Worker | 2756 Post Rd, Warwick, RI 02886-3003 | 2016-08-23 |
| 1548655897 | Samantha Piechuch | Social Worker | 2756 Post Rd, Warwick, RI 02886-3003 | 2015-04-03 |
| 1720476823 | Tarshire Battle | Counselor | 2756 Post Rd, Warwick, RI 02886-3003 | 2014-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694445 | Sheri Lynn Sklarz | Specialist | 300 Quaker Lane, Miracle Ear Suite C15, Warwick, RI 02886 | 2020-03-23 |
| 1316581424 | Dr. Degiulio & Associates Inc | Optometrist | 400 Bald Hill Road Ste 163, Warwick Mall, Warwick, RI 02886 | 2019-10-31 |
| 1255813291 | Samantha Pena Moore | Behavioral Analyst | 3446 Post Road, Warwick, RI 02886 | 2018-09-06 |
| 1912496209 | Martin Jude Cotti | Internal Medicine | 455 Toll Gate Rd., Warwick, RI 02886 | 2018-05-02 |
| 1447764261 | Cynthia A Lessard | Nurse Practitioner | 15 Health Lane, Warwick, RI 02886 | 2017-12-01 |
| 1538687520 | David A. Bennett | Registered Nurse | 2756 Post Road, Warwick, RI 02886 | 2017-08-30 |
| 1427585223 | Brittany Teixeira | Counselor | 85 Earl Street, Warwick, RI 02886 | 2017-05-11 |
| 1497125199 | Aiden Philip Cwynar | Optometrist | 1050 Centerville Road, Warwick, RI 02886 | 2015-10-07 |
| 1104221738 | Wilfredo L Sancianco Dmd Inc | Preferred Provider Organization | 3411 W Shiore Rd, Warwick, RI 02886 | 2014-10-24 |
| 1831508662 | Matthew Bryant Mitchell | Physical Therapist | 400 Bald Hill Rd #511, Warwick, RI 02886 | 2014-08-06 |
| Find all providers in zip 02886 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801978622 | James A Gallo | Psychiatry & Neurology | 828 Toll Gate Rd, Warwick, RI 02886-2721 | 2006-10-20 |
| 1740390087 | William Kyros | Psychiatry & Neurology | 181 Centerville Rd, Warwick, RI 02886-4338 | 2006-08-30 |
| 1760431514 | David W Pearson | Psychiatry & Neurology | 1087 Warwick Ave., Warwick, RI 02889 | 2006-05-09 |
| 1063480002 | Ethan H Kisch | Psychiatry & Neurology | 75 Lambert Lind Hwy, 120-100, Warwick, RI 02886-1131 | 2006-03-08 |
| 1942327481 | Alexander Scagnelli | Psychiatry & Neurology | 469 Centerville Rd Ste 103, Warwick, RI 02886-4355 | 2007-03-22 |
| 1639236664 | William P Kyros, Md, PC | Psychiatry & Neurology | 181 Centerville Rd, Warwick, RI 02886-4338 | 2007-01-02 |
| 1164583779 | Sandhya M Patel | Psychiatry & Neurology | 2756 Post Rd, Warwick, RI 02886-3003 | 2006-12-13 |
| 1891863437 | Richard Paul Whalen | Psychiatry & Neurology | 50 Health Lane, The Kent Center for Human & Organizational Development, Warwick, RI 02886 | 2006-12-01 |
| 1669554481 | Charles Denby II | Psychiatry & Neurology | 300 Centerville Road, Summit West Suite 101, Warwick, RI 02886 | 2006-10-20 |
| 1225125305 | Maurizio Zambenedetti | Psychiatry & Neurology | 33 College Hill Rd, 29c, Warwick, RI 02886-2776 | 2006-10-09 |
| Find all providers in WARWICK | ||||
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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.