NORTH ROAD PSYCHIATRY LLC
NPI 1215540042
Nurse Practitioner - Psychiatric/Mental Health in Peace Dale, RI
About North Road Psychiatry Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH ROAD PSYCHIATRY LLC (NPI 1215540042) is a healthcare organization registered as a psychiatric/mental health in Peace Dale, Rhode Island and active in the NPI registry since August 2020. The organization lists Gloria Mary Mazza, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
North Road Psychiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to North Road Psychiatry LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 North Road Psychiatry LLC's NPI number?
The NPI number for North Road Psychiatry LLC is 1215540042. It was assigned to this organization in the NPPES registry on August 31, 2020.
Where is North Road Psychiatry LLC located?
North Road Psychiatry LLC is located at 23 North Rd Ste A11, Peace Dale, RI 02879. The listed phone number is (401) 447-1777.
What is North Road Psychiatry LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is North Road Psychiatry LLC enrolled in Medicare?
Yes. North Road Psychiatry LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through North Road Psychiatry LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to North Road Psychiatry LLC, in Clinical Social Worker and Nurse Practitioner. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for North Road Psychiatry LLC was last updated on August 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# North Road Psychiatry Llc · NPI 1215540042
Psychiatric/Mental Health organization in Peace Dale, Rhode Island. Organization record, active in the CMS NPPES registry since August 31, 2020.
## Identity
- **NPI:** 1215540042 (Entity type: Organization)
- **Enumerated:** August 31, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Gloria Mazza, OWNER
## Practice location
- **Address:** 23 NORTH RD STE A11, Peace Dale, RI 02879-8108
- **Phone:** (401) 447-1777
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (1), Nurse Practitioner (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 31, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1215540042) · Data from the CMS NPPES public registry.