DR. DMITRY MEYERSON (NPI# 1972033827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972033827 |
| Entity Type | Individual |
| Full Name | DR. DMITRY MEYERSON |
| Credential | PH. D. |
| Practice Address |
177 Airport Rd Warwick RI 02889-1046 |
| Practice Telephone | 4013292210 |
| Practice Fax Number | 4013401052 |
| Mailing Telephone | 4012583310 |
| Mailing Fax Number | 4013401052 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2020-09-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | PS01629 | RI | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS01629 | RI | Behavioral Health & Social Service Providers |
| Street Address |
177 AIRPORT RD |
| City | WARWICK |
| State | RI |
| Zip Code | 02889-1046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114261799 | Chantele Petrocelli | Counselor | 177 Airport Rd, Warwick, RI 02889 | 2012-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801287933 | Alan Ezovski | Social Worker | 105 West Shore Road, Warwick, RI 02889 | 2015-02-11 |
| 1093119315 | Etta Oye | Nurse Practitioner | 44 Beatrice Ave., Warwick, RI 02889 | 2014-10-15 |
| 1982803185 | Jody J Ritter | Counselor | 66 Rocky Point Ave., Warwick, RI 02889 | 2007-07-17 |
| 1205958030 | Albert M Glucksman | Optometrist | 1624 Warwick Ave, Warwick, RI 02889 | 2007-04-04 |
| 1558486639 | Bayside Nursing LLC | Home Health | 177 Airport Road, Warwick, RI 02889 | 2007-03-20 |
| 1760547582 | Child Inc. | Social Worker | 160 Draper Avenue, Warwick, RI 02889 | 2006-12-22 |
| 1760431514 | David W Pearson | Psychiatry & Neurology | 1087 Warwick Ave., Warwick, RI 02889 | 2006-05-09 |
| 1215913215 | Pamela Jo San Antonio | Pediatrics | 161 Airport Road, Warwick, RI 02889 | 2005-12-21 |
| 1417072273 | Bayside Nursing LLC | Home Health | 177 Airport Road, Warwick, RI 02889 | 2007-03-20 |
| 1013075373 | Joel H Harrison Dmd Ltd | Dentist | 230 Airport Rd, Warwick, RI 02889 | 2006-12-05 |
| Find all providers in zip 02889 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629266226 | Tracy M Townsend | Psychologist | 931 Jefferson Blvd, Warwick, RI 02886-2234 | 2007-10-09 |
| 1962604439 | Sondra M Tuckfelt | Psychologist | 56 Sleepy Valley Rd, Warwick, NY 10990-2717 | 2007-06-05 |
| 1518080167 | Richard Vinacco Jr. | Psychologist | 57 Gillan Ave, Warwick, RI 02886-3105 | 2007-04-09 |
| 1003957283 | Norman Charles Dupont | Psychologist | 26 Janet Drive, Warwick, RI 02886-7424 | 2007-02-09 |
| 1881747871 | Julie Lucier | Psychologist | 3296 Post Rd Ste 2a, Warwick, RI 02886-7131 | 2007-01-21 |
| 1265584973 | Joseph Roman | Psychologist | 210 Ronald Reagan Blvd, Warwick, NY 10990-4107 | 2007-01-16 |
| 1588730311 | Ellen Kenner | Psychologist | 51 Jefferson Blvd, Suite 400, Warwick, RI 02888-1002 | 2006-11-24 |
| 1497363105 | Miranda Icart | Psychologist | 400 Bald Hill Rd, Warwick, RI 02886-1617 | 2020-07-20 |
| 1386200558 | Sharaya Mcfadden | Psychologist | 400 Bald Hill Rd Ste 530, Warwick, RI 02886-6111 | 2019-05-14 |
| 1538535034 | Mary Ellen Tillotson | Psychologist | 15 Aspen Way, Warwick, RI 02886-5006 | 2015-08-19 |
| 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.