Provider Demographics
NPI:1508266784
Name:PSYCHIATRIC ASSOCIATES, LLC
Entity Type:Organization
Organization Name:PSYCHIATRIC ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC CLINICAL NURSE SPECIALI
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:DIGATI
Authorized Official - Suffix:
Authorized Official - Credentials:RN/PC
Authorized Official - Phone:401-477-4681
Mailing Address - Street 1:115 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:RI
Mailing Address - Zip Code:02809-2125
Mailing Address - Country:US
Mailing Address - Phone:401-477-4681
Mailing Address - Fax:401-396-5324
Practice Address - Street 1:1311 BEDFORD ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02723-2637
Practice Address - Country:US
Practice Address - Phone:401-477-4681
Practice Address - Fax:401-396-5324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-25
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICPPNS00099364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, AdultGroup - Single Specialty