THE PROVIDENCE CENTER INC NPI 1104847946

NPI Information

NPI: 1104847946
Provider Name: THE PROVIDENCE CENTER INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
528 NORTH MAIN STREET
PROVIDENCE, RI
ZIP 02904
Phone: (401) 528-0123
Get Directions

THE PROVIDENCE CENTER INC is a mental health (including community mental health center) clinic center in Providence, RI. THE PROVIDENCE CENTER INC NPI is 1104847946. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

528 NORTH MAIN STREET
PROVIDENCE, RI
ZIP 02904-759
Phone: (401) 528-0123
Fax: (401) 528-0124

The provider's authorized official is Carla Sosa .
The authorized official title is Payer Credentialing Specialist and has the following contact phone number (401) 528-0193.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 3/7/2024.

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			No
2	1041C0700X	Social Worker	Clinical			No
3	163W00000X	Registered Nurse				No
4	175T00000X	Peer Specialist				No
5	207SG0205X	Medical Genetics	Ph.D. Medical Genetics			No
6	2084P0800X	Psychiatry & Neurology	Psychiatry			No
7	251B00000X	Case Management				No
8	251S00000X	Community/Behavioral Health		631	RHODE ISLAND	No
9	261QH0100X	Clinic/Center	Health Service			No
10	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes
11	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No
12	324500000X	Substance Abuse Rehabilitation Facility				No
13	363L00000X	Nurse Practitioner				No

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	23770	OTHER	RHODE ISLAND	BLUE CROSS
2	PC11826	MEDICAID	RHODE ISLAND
3	1021730	OTHER	RHODE ISLAND	BEACON
4	50-64724	OTHER	RHODE ISLAND	UNITED BEHAVIORAL HEALTH
5	PC07340	OTHER	RHODE ISLAND	DCYF-MEDICAID
6	410282	OTHER	RHODE ISLAND	BLUE CHIP
7	PC02214	MEDICAID	RHODE ISLAND
8	PC02213	MEDICAID	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: 4/28/2024

NPI Synchronization or Removal

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