Provider Demographics
NPI:1215108717
Name:FORLONEY, BARBARA J (PMHCNS, BC)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:J
Last Name:FORLONEY
Suffix:
Gender:F
Credentials:PMHCNS, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 COWESETT AVE
Mailing Address - Street 2:
Mailing Address - City:WEST WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02893
Mailing Address - Country:US
Mailing Address - Phone:401-323-6237
Mailing Address - Fax:401-274-0923
Practice Address - Street 1:310 COWESETT AVE
Practice Address - Street 2:
Practice Address - City:WEST WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02893-2221
Practice Address - Country:US
Practice Address - Phone:401-323-6237
Practice Address - Fax:401-274-0923
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-12
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RINPP37883363LP0808X
RICPPNS00089364SP0809X
RIAPRN01248364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI899006153Medicare PIN