1. Home
  2. Directory
  3. Rhode Island
  4. Providence
  5. Psychologist
  6. NPI Profile

COLLABORATIVE CARE NETWORK LLC
NPI 1205723558
Psychologist - Clinical in Providence, RI

Active since June 19, 2025
2 RICHMOND SQ STE 204, PROVIDENCE, RI 02906(401) 206-0130 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Collaborative Care Network Llc NPPES

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

COLLABORATIVE CARE NETWORK LLC (NPI 1205723558) is a healthcare organization registered as a clinical in Providence, Rhode Island and active in the NPI registry since June 2025. The organization lists Fraynelis Y Andujar, Co-founder / Clinician, as its authorized official.

NPPES Registry Identity

NPI1205723558
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameCOLLABORATIVE CARE NETWORK LLC
Location Address2 RICHMOND SQ STE 204Providence, RI 02906-5135
Mailing Address2 Richmond Sq Ste 204Providence, RI 02906-5135 · (401) 206-0130
Phone(401) 206-0130
Organization SubpartNo
Authorized OfficialFraynelis Y AndujarCo-founder / Clinician · (401) 749-4821
Enumeration DateJune 19, 2025
NPPES CertifiedJune 19, 2025
✔ NPI 1205723558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
2 RICHMOND SQ STE 204, Providence, RI 02906
Open in Google Maps ↗

Other Identifiers 3

Other1548601347MA · Nppes
Other1750072740RI · Nppes
Other1184005456MA · Nppes

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Collaborative Care Network LLC's NPI number?

The NPI number for Collaborative Care Network LLC is 1205723558. It was assigned to this organization in the NPPES registry on June 19, 2025.

Where is Collaborative Care Network LLC located?

Collaborative Care Network LLC is located at 2 Richmond Sq Ste 204, Providence, RI 02906. The listed phone number is (401) 206-0130.

What is Collaborative Care Network LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Collaborative Care Network LLC was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.