Basic Information
Provider Information
NPI: 1205356599
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GOLSKI
FirstName: CAROLINE
MiddleName: JOY
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 117 ELLENFIELD ST STE 101
Address2:  
City: PROVIDENCE
State: RI
PostalCode: 029054541
CountryCode: US
TelephoneNumber: 4014446779
FaxNumber: 4014446912
Practice Location
Address1: 1407 S COUNTY TRL
Address2:  
City: EAST GREENWICH
State: RI
PostalCode: 028181652
CountryCode: US
TelephoneNumber: 4016064415
FaxNumber: 4016064416
Other Information
ProviderEnumerationDate: 06/27/2017
LastUpdateDate: 05/05/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/05/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800XLP04048RIN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
2084P0800XMD16802RIY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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