KELLEY GEMMA LLC DBA OCEAN STATE PSYCHOTHERAPY INC. NPI 1821384207

NPI Information

NPI: 1821384207
Provider Name: KELLEY GEMMA, LLC DBA OCEAN STATE PSYCHOTHERAPY, INC.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1130 TEN ROD RD
SUITE F 203
NORTH KINGSTOWN, RI
ZIP 02852
Phone: (401) 268-3886
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KELLEY GEMMA, LLC DBA OCEAN STATE PSYCHOTHERAPY, INC. is a mental health counselor in North Kingstown, RI. KELLEY GEMMA, LLC DBA OCEAN STATE PSYCHOTHERAPY, INC. NPI is 1821384207. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1130 TEN ROD RD
SUITE F 203
NORTH KINGSTOWN, RI
ZIP 02852-161
Phone: (401) 268-3886
Fax: (401) 268-3887

The provider's authorized official is Kelley E Gemma .
The authorized official title is President/clinical Director and has the following contact phone number (401) 268-3886.

The enumeration date for this NPI number is 6/23/2011 and was last updated on 6/23/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	ISW001777	RHODE ISLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	809082008	MEDICARE UPIN	RHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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