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LIGHTMIND PSYCHIATRY LLC
NPI 1033944202
Registered Nurse - Psychiatric/Mental Health, Adult in Cranston, RI

Active since September 05, 2024
1981 BROAD ST, CRANSTON, RI 02905(401) 859-3335(401) 246-4655 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 5, 2024, Sep 24, 2024, Sep 5, 2024 (3 updates tracked since 2024).

About Lightmind Psychiatry Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIGHTMIND PSYCHIATRY LLC (NPI 1033944202) is a healthcare organization registered as a psychiatric/mental health, adult in Cranston, Rhode Island and active in the NPI registry since September 2024. The organization lists Susan Gagnon, President, as its authorized official.

NPPES Registry Identity

NPI1033944202
Entity TypeOrganization
Primary Taxonomy163WP0809X
Legal Business NameLIGHTMIND PSYCHIATRY LLC
Location Address1981 BROAD STCranston, RI 02905-3430
Mailing AddressPo Box 9014Warwick, RI 02889-0014 · (401) 859-3335 · Fax (401) 246-4655
Phone(401) 859-3335
Fax(401) 246-4655
Organization SubpartNo
Authorized OfficialSusan GagnonPresident · (401) 859-3335
Enumeration DateSeptember 5, 2024
Last NPPES UpdateDecember 5, 20243 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
✔ NPI 1033944202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers
Taxonomy Code163WP0809X
1981 BROAD ST, Cranston, RI 02905
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lightmind Psychiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Lightmind Psychiatry LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Susan Gagnon
Nurse Practitioner
NPI 1922280817
652 GEORGE WASHINGTON HWY UNIT 400
Lincoln, RI 02865
(401) 334-1830
✔ PECOS✔ Accepts Medicare12 mi
Hala Moustafa, NP
Nurse Practitioner
NPI 1104785120
226 FIELD ST
New Bedford, MA 02740
(508) 979-5557
✔ PECOS26 mi
Sophia Lewis, PMHNP-BC
Nurse Practitioner
NPI 1285417881
282 CENTRAL ST
Acton, MA 01720
(617) 947-7519
✔ PECOS49 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lightmind Psychiatry LLC's NPI number?

The NPI number for Lightmind Psychiatry LLC is 1033944202. It was assigned to this organization in the NPPES registry on September 5, 2024.

Where is Lightmind Psychiatry LLC located?

Lightmind Psychiatry LLC is located at 1981 Broad St, Cranston, RI 02905. The listed phone number is (401) 859-3335.

What is Lightmind Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 163WP0809X.

Is Lightmind Psychiatry LLC enrolled in Medicare?

Yes. Lightmind Psychiatry LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lightmind Psychiatry LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Lightmind Psychiatry LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lightmind Psychiatry LLC was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.