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HEALING MINDS PSYCHIATRY, LLC
NPI 1477136513
Nurse Practitioner - Psychiatric/Mental Health in Tiverton, RI

Active since May 05, 2021
301 STATE AVE, TIVERTON, RI 02878(774) 300-3444(774) 307-9039 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 7, 2024, Oct 14, 2022, Sep 1, 2022 and 1 more (4 updates tracked since 2021).

About Healing Minds Psychiatry, Llc NPPES

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

HEALING MINDS PSYCHIATRY, LLC (NPI 1477136513) is a healthcare organization registered as a psychiatric/mental health in Tiverton, Rhode Island and active in the NPI registry since May 2021. The organization lists Lisa Marie Dejesus, Provider, as its authorized official.

NPPES Registry Identity

NPI1477136513
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameHEALING MINDS PSYCHIATRY, LLC
Location Address301 STATE AVETiverton, RI 02878-1062
Mailing Address301 State AveTiverton, RI 02878-1062 · (774) 300-3444 · Fax (774) 307-9039
Phone(774) 300-3444
Fax(774) 307-9039
Organization SubpartNo
Authorized OfficialLisa Marie DejesusProvider · (774) 300-3444
Enumeration DateMay 5, 2021
Last NPPES UpdateFebruary 7, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2024
✔ NPI 1477136513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedClinical Nurse Specialist · Psychiatric/Mental HealthTaxonomy 364SP0808X
301 STATE AVE, Tiverton, RI 02878
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Healing Minds Psychiatry, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Lisa Dejesus, PMHNP
Nurse Practitioner
NPI 1700410628
301 STATE AVE
Tiverton, RI 02878
(774) 300-3444
✔ PECOS✔ Accepts MedicareSame address
Jennifer Glynn
Nurse Practitioner
NPI 1487413720
301 STATE AVE
Tiverton, RI 02878
(774) 300-3444
✔ PECOS✔ Accepts MedicareSame address
Kelly Santos, APRN, CNP
Nurse Practitioner
NPI 1558044164
301 STATE AVE
Tiverton, RI 02878
(774) 300-3444
✔ PECOS✔ Accepts MedicareSame address
Alison Mota, FNP - BC
Nurse Practitioner
NPI 1629724299
400 STANLEY ST
Fall River, MA 02720
(508) 675-1054
✔ PECOS3.8 mi
Marcia Tryon, M
Mental Health Counselor
NPI 1811049919
421 CURRANT RD
Fall River, MA 02720
(401) 862-5248
✔ PECOS✔ Accepts Medicare6.0 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 Healing Minds Psychiatry, LLC's NPI number?

The NPI number for Healing Minds Psychiatry, LLC is 1477136513. It was assigned to this organization in the NPPES registry on May 5, 2021.

Where is Healing Minds Psychiatry, LLC located?

Healing Minds Psychiatry, LLC is located at 301 State Ave, Tiverton, RI 02878. The listed phone number is (774) 300-3444.

What is Healing Minds Psychiatry, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Healing Minds Psychiatry, LLC enrolled in Medicare?

Yes. Healing Minds Psychiatry, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healing Minds Psychiatry, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Healing Minds 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. The largest specialties are Nurse Practitioner (4) and Mental Health Counselor (1). Of these, 3 practice at this address and 5 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 Healing Minds Psychiatry, LLC was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.