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BAXTER BEHAVIORAL HEALTH LLC
NPI 1972975845
Nurse Practitioner - Psychiatric/Mental Health in North Kingstown, RI

Active since October 30, 2015
1130 TEN ROD RD STE D101, NORTH KINGSTOWN, RI 02852(401) 267-4485(401) 267-4534 Get Directions Write a Review

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

Record update history: Jun 5, 2024, Jun 1, 2021 (2 updates tracked since 2021).

About Baxter Behavioral Health Llc NPPES

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

BAXTER BEHAVIORAL HEALTH LLC (NPI 1972975845) is a healthcare organization registered as a psychiatric/mental health in North Kingstown, Rhode Island and active in the NPI registry since October 2015. The organization maintains a secondary practice location in East Greenwich and lists Ryan Patrick Baxter, Owner, as its authorized official.

NPPES Registry Identity

NPI1972975845
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBAXTER BEHAVIORAL HEALTH LLC
Location Address1130 TEN ROD RD STE D101North Kingstown, RI 02852-4161
Mailing AddressPo Box 949North Kingstown, RI 02852-0610 · (401) 267-4485 · Fax (401) 267-4534
Phone(401) 267-4485
Fax(401) 267-4534
Organization SubpartNo
Authorized OfficialRyan Patrick BaxterOwner · (401) 267-4485
Enumeration DateOctober 30, 2015
Last NPPES UpdateJune 5, 20242 updates tracked since enumeration
NPPES CertifiedJune 27, 2023
✔ NPI 1972975845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in RI · NPP37892
1130 TEN ROD RD STE D101, North Kingstown, RI 02852
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Secondary Practice Location 1

Location 15835 Post Rd, Unit 217East Greenwich, RI 02818-2174 · Phone (401) 267-4485 · Fax (401) 267-4534

Other Identifiers 1

Medicaid1972975485RI

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)

Baxter Behavioral Health 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 Baxter Behavioral Health LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Gabrielle Koussa, PMHNP-BC
Nurse Practitioner
NPI 1629943048
1130 TEN ROD RD STE D101
North Kingstown, RI 02852
(401) 267-4485
✔ PECOS✔ Accepts MedicareSame address
Reagan Mcgee, PMHNP-BC
Nurse Practitioner
NPI 1023702149
1130 TEN ROD RD STE 101
North Kingstown, RI 02852
(401) 267-4485
✔ PECOS✔ Accepts MedicareSame address
Nicole Sanchez, PMHNP-BC
Nurse Practitioner
NPI 1033867635
1130 TEN ROD RD STE 101
North Kingstown, RI 02852
(401) 267-4485
✔ PECOS✔ Accepts MedicareSame address
Monique Tarulli, PMHNP-BC
Nurse Practitioner
NPI 1942017413
1130 TEN ROD RD STE D101
North Kingstown, RI 02852
(401) 267-4485
✔ PECOS✔ Accepts MedicareSame address
Ryan Baxter, MSN, APRN, PMHNP-BC
Nurse Practitioner
NPI 1457769721
1130 TEN ROD RD STE D-101
North Kingstown, RI 02852
(401) 267-4485
✔ PECOS✔ Accepts MedicareSame address

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 Baxter Behavioral Health LLC's NPI number?

The NPI number for Baxter Behavioral Health LLC is 1972975845. It was assigned to this organization in the NPPES registry on October 30, 2015.

Where is Baxter Behavioral Health LLC located?

Baxter Behavioral Health LLC is located at 1130 Ten Rod Rd Ste D101, North Kingstown, RI 02852. The listed phone number is (401) 267-4485.

What is Baxter Behavioral Health LLC's specialty?

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

Is Baxter Behavioral Health LLC enrolled in Medicare?

Yes. Baxter Behavioral Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Baxter Behavioral Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Baxter Behavioral Health 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. Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Baxter Behavioral Health LLC was last updated on June 5, 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.