Provider Demographics
NPI:1023213980
Name:SPARADEO & ASSOCIATES
Entity Type:Organization
Organization Name:SPARADEO & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:SPARADEO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:401-398-7681
Mailing Address - Street 1:63 CEDAR AVE UNIT 11
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-3192
Mailing Address - Country:US
Mailing Address - Phone:401-398-7681
Mailing Address - Fax:401-398-7683
Practice Address - Street 1:63 CEDAR AVE UNIT 11
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-3192
Practice Address - Country:US
Practice Address - Phone:401-398-7681
Practice Address - Fax:401-398-7683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-19
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPS00241101YM0800X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RICBG0005533001OtherBLUE CROSS
RI9642341OtherAETNA
RI1022270OtherNEIGHBORHOOD HEALTH PLAN
RICBG0005533001OtherBLUE CROSS