Provider Demographics
NPI:1023883097
Name:DP BEHAVIORAL HEALTHCARE LLC
Entity type:Organization
Organization Name:DP BEHAVIORAL HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMH NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:DESPINA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:PRASSAS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, PMHNP- BC
Authorized Official - Phone:401-346-4497
Mailing Address - Street 1:PO BOX 129
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02835-0129
Mailing Address - Country:US
Mailing Address - Phone:401-346-4497
Mailing Address - Fax:
Practice Address - Street 1:83 MAST ST
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:RI
Practice Address - Zip Code:02835-2646
Practice Address - Country:US
Practice Address - Phone:401-346-4497
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-20
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental HealthGroup - Single Specialty