Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blackstone Medical Center, Inc

Organization Clinical Neuropsychologist · NPI 1033464276

Blackstone Medical Center, Inc provides Clinical Neuropsychologist services in Woonsocket, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2012.

Licensed in
RI
In the registry since
2012
Specialties on file
6
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

115 Cass Ave
Woonsocket, RI 02895-4705 Not confirmed with CMS for 14 years — call before visiting
Phone: (401) 769-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 00117 (RI)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence 00117 (RI)
Prescribing (Medical) Psychologist Taxonomy 103TP0016X · Licence 00117 (RI)
Neurology Physician Taxonomy 2084N0400X · Licence 00117 (RI)
Psychiatry Physician Taxonomy 2084P0800X · Licence 00117 (RI)
Nurse Practitioner Taxonomy 363L00000X · Licence 00117 (RI)

Record details

NPI number1033464276
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSteward Medical Holdings, LLC
Authorized official James Renna — Cfo · (617) 419-4772
Other names Blackstone Medical Center Psych
NPI enumeratedJuly 13, 2012
Last updated in NPPESJuly 30, 2012
Mailing address219 Cass Avenue, Woonsocket, RI 02895-4741

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