Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PS00241 | RI |
Y | 103TC0700X | Clinical Psychologist | PS00241 | RI |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | PS00241 | RI |
N | 103G00000X | Clinical Psychologist | PS00241 | RI |
N | 103TC0700X | Clinical Psychologist | PS00241 | RI |
NPI | 1134252794 |
---|---|
Provider Name | Dr. Francis R Sparadeo |
First Address | West Warwick, RI 02893-2151 |
Second Address | West Warwick, RI 02893-2151 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2007 |
Last Update Date | 20/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1022270 | NEIGHBORHOOD HEALTH PLAN (01) | RI |
400090 | BLUE CHIP (01) | RI |
9239-5 | BLUE CROSS (01) | RI |
R66447 | (02) | RI |