MISS BRIANNA MARIE WALLBANK (NPI# 1992338735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992338735 |
| Entity Type | Individual |
| Full Name | MISS BRIANNA MARIE WALLBANK |
| Practice Address |
249 Roosevelt Ave Unit 205 Pawtucket RI 02860-2134 |
| Mailing Address |
56 Cobblestone Ter Coventry RI 02816-8576 |
| Practice Telephone | 4017248400 |
| Mailing Telephone | 4018286811 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
249 ROOSEVELT AVE UNIT 205 |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02860-2134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245345156 | Johnna A Pratt | Social Worker | 249 Roosevelt Ave Unit 205, Pawtucket, RI 02860-2134 | 2006-08-20 |
| 1144842956 | Rosemary Brems | Counselor | 249 Roosevelt Ave Unit 205, Pawtucket, RI 02860-2134 | 2020-05-14 |
| 1184243446 | Allyson Trull | Counselor | 249 Roosevelt Ave Unit 205, Pawtucket, RI 02860-2134 | 2020-04-15 |
| 1063052892 | Seav Mey Y | Counselor | 249 Roosevelt Ave Unit 205, Pawtucket, RI 02860-2134 | 2020-01-09 |
| 1700425048 | Corrine Plocharczyk | Counselor | 249 Roosevelt Ave Unit 205, Pawtucket, RI 02860-2134 | 2020-01-03 |
| 1598306177 | Alicia Corbo | Counselor | 249 Roosevelt Ave Unit 205, Pawtucket, RI 02860-2134 | 2019-10-04 |
| 1659939395 | Cara Elizabeth Coogan | Social Worker | 249 Roosevelt Ave Unit 205, Pawtucket, RI 02860-2134 | 2019-05-29 |
| 1396309043 | Neha Chetan Haria | Psychologist | 249 Roosevelt Ave Unit 205, Pawtucket, RI 02860-2134 | 2019-04-29 |
| 1245894328 | Estrellita Moronta | Social Worker | 249 Roosevelt Ave Unit 205, Pawtucket, RI 02860-2134 | 2019-04-24 |
| 1972022952 | Debra Mary Rodgers | Counselor | 249 Roosevelt Ave Unit 205, Pawtucket, RI 02860-2134 | 2017-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972096923 | Lmb Medical LLC | Internal Medicine | 127 School St, Pawtucket, RI 02860 | 2018-06-13 |
| 1215420435 | Tyla Jackson | Behavior Technician | 70 Wood St Apt 22, Pawtucket, RI 02860 | 2018-06-12 |
| 1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
| 1730690488 | Anthony Edwin Ramicone | Physician Assistant | 407 East Ave Ste 120, Pawtucket, RI 02860 | 2017-10-21 |
| 1669991352 | Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC | Clinic/Center | 407 East Ave; Suite 110, Pawtucket, RI 02860 | 2017-09-13 |
| 1841716230 | Ri Alternative Academy Management, LLC | Local Education Agency (LEA) | 249 Roosevelt Avenue, Pawtucket, RI 02860 | 2017-08-17 |
| 1396265724 | Hannah R Stoops | Family Medicine | 111 Brewster St Fcc A, Pawtucket, RI 02860 | 2017-06-27 |
| 1427578400 | Shaun Michael Flynn | Family Medicine | 111 Brewster St, Fcc A, Pawtucket, RI 02860 | 2017-06-21 |
| 1073051843 | Laura Jane Amaral | Counselor | 750 East Ave Unit 1e, Pawtucket, RI 02860 | 2017-02-01 |
| 1063862027 | Stephanie Shoppell | Counselor | 105 Bacon Street, Pawtucket, RI 02860 | 2016-06-20 |
| Find all providers in zip 02860 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346876810 | Isabel A Miranda | Counselor | 315 East Ave Apt 3, Pawtucket, RI 02860-3854 | 2020-03-17 |
| 1184184228 | Claudia Dorego | Counselor | 125 Goff Ave Unit 3301, Pawtucket, RI 02860-2997 | 2019-03-24 |
| 1174090104 | Crystal Nico | Counselor | 184 School St, Pawtucket, RI 02860-5322 | 2018-10-29 |
| 1558893081 | Alicia Paduan | Counselor | 249 Roosevelt Ave Suite 205, Pawtucket, RI 02860-2134 | 2017-04-03 |
| 1114379914 | Kelly Louise Cunningham | Counselor | 626 Central Ave Apt 3, Pawtucket, RI 02861-1958 | 2016-07-06 |
| 1063862027 | Stephanie Shoppell | Counselor | 105 Bacon Street, Pawtucket, RI 02860 | 2016-06-20 |
| 1558759290 | Amy Moreira | Counselor | 750 East Ave Ste Le, Pawtucket, RI 02860-6245 | 2015-01-05 |
| 1881016707 | Ariadna Yadira Benitez | Counselor | 296 Parkview Dr Apt 8, Pawtucket, RI 02861-3963 | 2014-01-12 |
| 1104255264 | Michelle Kay Crossley | Counselor | 750 East Ave Ste 1b, Pawtucket, RI 02860-6165 | 2013-11-08 |
| 1578819082 | Niki M Best | Counselor | 100 Lafayette St Ste 108, Pawtucket, RI 02860-6008 | 2012-08-02 |
| Find all providers in PAWTUCKET | ||||
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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.