Provider Demographics
NPI:1245946029
Name:PELUSO, CARLEIGH MARIE (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:CARLEIGH
Middle Name:MARIE
Last Name:PELUSO
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1445 WAMPANOAG TRL UNIT 202
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:RI
Mailing Address - Zip Code:02915-1019
Mailing Address - Country:US
Mailing Address - Phone:401-437-4116
Mailing Address - Fax:
Practice Address - Street 1:1445 WAMPANOAG TRL UNIT 202
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:RI
Practice Address - Zip Code:02915-1019
Practice Address - Country:US
Practice Address - Phone:401-437-4116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-25
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAPRN03457363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health