OLGA PROKUNINA MD
NPI 1336834399
Psychiatry & Neurology - Psychiatry in Providence, RI

Active since April 06, 2023PECOS Enrolled
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906(401) 455-6375 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 12, 2023, May 31, 2023, Apr 6, 2023 (3 updates tracked since 2023).

About Olga Prokunina Md NPPES

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

OLGA PROKUNINA MD (NPI 1336834399) is an individual psychiatry provider in Providence, Rhode Island, licensed in Rhode Island (LP05928) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1336834399
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameOLGA PROKUNINACredential: MD
Location Address345 BLACKSTONE BLVDProvidence, RI 02906-4800
Mailing Address345 Blackstone BlvdProvidence, RI 02906-4800 · (401) 455-6375
Sole ProprietorNo
Enumeration DateApril 6, 2023
Last NPPES UpdateJuly 12, 20233 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
NPI 1336834399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in RI · LP05928
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
345 BLACKSTONE BLVD, Providence, RI 02906

Secondary Practice Location 1

Location 1245 Chapman St, Suite 300Providence, RI 02905 · Phone (401) 444-4741 · Fax (401) 444-4445

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Olga Prokunina Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02906 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$177.03 typical visit price
range $58.57 – $177.03
Typical copayment $44.25 (range $14.64 – $44.25)
Most-billed visit code 99205
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Social Worker (Clinical)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Nurse Practitioner (Family)
345 BLACKSTONE BLVD, MEMORY AND AGING PROGRAM
PROVIDENCE, RI 02906
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906
Psychiatry & Neurology (Psychiatry)
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906

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 Olga Prokunina's NPI number?

The NPI number for Olga Prokunina is 1336834399. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Where is Olga Prokunina located?

Olga Prokunina practices at 345 Blackstone Blvd, Providence, RI 02906. The listed phone number is (401) 455-6375.

What is Olga Prokunina's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Olga Prokunina enrolled in Medicare?

Yes. Olga Prokunina is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olga Prokunina was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.