Provider Demographics
NPI:1538622394
Name:PARTNERS IN PSYCHIATRY LLC
Entity type:Organization
Organization Name:PARTNERS IN PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NP/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TABITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:IMONDI
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, CNP, PMHNP-BC
Authorized Official - Phone:401-829-6678
Mailing Address - Street 1:1525 OLD LOUISQUISSET PIKE STE B203
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:RI
Mailing Address - Zip Code:02865-4522
Mailing Address - Country:US
Mailing Address - Phone:774-291-0617
Mailing Address - Fax:
Practice Address - Street 1:1525 OLD LOUISQUISSET PIKE STE B203
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:RI
Practice Address - Zip Code:02865-4522
Practice Address - Country:US
Practice Address - Phone:774-291-0617
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-09
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty