CHILDREN IN BALANCE PSYCHOLOGICAL ASSOCIATES LLC NPI 1952651895

NPI Information

NPI: 1952651895
Provider Name: CHILDREN IN BALANCE PSYCHOLOGICAL ASSOCIATES LLC

Other Name: CENTER FOR SELF CARE CSC

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
575 E MAIN RD
4
MIDDLETOWN, RI
ZIP 02842
Phone: (508) 962-7364
Get Directions

CHILDREN IN BALANCE PSYCHOLOGICAL ASSOCIATES LLC is a mental health counselor in Middletown, RI. CHILDREN IN BALANCE PSYCHOLOGICAL ASSOCIATES LLC NPI is 1952651895. The provider is registered as an organization entity type.
The provider Other Name Is Center For Self Care Csc.

The provider's business location address is:

575 E MAIN RD
4
MIDDLETOWN, RI
ZIP 02842-528
Phone: (508) 962-7364
Fax: (401) 619-7766

The provider's authorized official is Tiffany Bourquin .
The authorized official title is Ceo/executive Director and has the following contact phone number (508) 962-7364.

The enumeration date for this NPI number is 9/19/2012 and was last updated on 4/26/2017.

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	251S00000X	Community/Behavioral Health		MHC00502	RHODE ISLAND	No
2	251S00000X	Community/Behavioral Health		7566	MASSACHUSETTS	No
3	1041C0700X	Social Worker	Clinical	CSW01724	RHODE ISLAND	No
4	1041C0700X	Social Worker	Clinical	02472	RHODE ISLAND	No
5	101YM0800X	Counselor	Mental Health	6722	MASSACHUSETTS	No
6	101YM0800X	Counselor	Mental Health	7566	MASSACHUSETTS	No
7	101YM0800X	Counselor	Mental Health	7566	RHODE ISLAND	No
8	101YM0800X	Counselor	Mental Health	00547	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	BH90286	MEDICAID	RHODE ISLAND
2	1669631487	OTHER		INDIVIDUAL NPI 1669631487

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: 11/14/2023

NPI Synchronization or Removal

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