THE PROVIDENCE CENTER (NPI# 1043240799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043240799 |
| Entity Type | Organization |
| Organization Name | THE PROVIDENCE CENTER |
| Practice Address |
890 Centerville Rd Warwick RI 02886-4397 |
| Mailing Address |
530 N Main St Providence RI 02904-5762 |
| Practice Telephone | 4012742500 |
| Mailing Telephone | 4012742500 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-06-22 |
| Authorized Official Name | DONNA RICHARD (DIRECTOR OF PRACTICE ADMINISTRATION) |
| Authorized Official Telephone | 4015280140 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679025696 | The Providence Center | Home Health | 195 California Ave, Providence, RI 02905-4323 | 2016-10-25 |
| 1609818210 | The Providence Center | Residential Treatment Facility, Emotionally Disturbed Children | 90 Plain St, Providence, RI 02903-4817 | 2006-06-11 |
| 1396280566 | The Providence Center | Case Management | 530 N Main St, Providence, RI 02904-5762 | 2016-12-27 |
| 1326497256 | The Providence Center | Community/Behavioral Health | 530 N Main St, Providence, RI 02904-5762 | 2016-06-10 |
| 1649445545 | The Providence Center | Clinic/Center | 528 N Main St, Providence, RI 02904-5757 | 2008-04-23 |
| Street Address |
890 CENTERVILLE RD |
| City | WARWICK |
| State | RI |
| Zip Code | 02886-4397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694445 | Sheri Lynn Sklarz | Specialist | 300 Quaker Lane, Miracle Ear Suite C15, Warwick, RI 02886 | 2020-03-23 |
| 1316581424 | Dr. Degiulio & Associates Inc | Optometrist | 400 Bald Hill Road Ste 163, Warwick Mall, Warwick, RI 02886 | 2019-10-31 |
| 1255813291 | Samantha Pena Moore | Behavioral Analyst | 3446 Post Road, Warwick, RI 02886 | 2018-09-06 |
| 1912496209 | Martin Jude Cotti | Internal Medicine | 455 Toll Gate Rd., Warwick, RI 02886 | 2018-05-02 |
| 1447764261 | Cynthia A Lessard | Nurse Practitioner | 15 Health Lane, Warwick, RI 02886 | 2017-12-01 |
| 1538687520 | David A. Bennett | Registered Nurse | 2756 Post Road, Warwick, RI 02886 | 2017-08-30 |
| 1427585223 | Brittany Teixeira | Counselor | 85 Earl Street, Warwick, RI 02886 | 2017-05-11 |
| 1497125199 | Aiden Philip Cwynar | Optometrist | 1050 Centerville Road, Warwick, RI 02886 | 2015-10-07 |
| 1104221738 | Wilfredo L Sancianco Dmd Inc | Preferred Provider Organization | 3411 W Shiore Rd, Warwick, RI 02886 | 2014-10-24 |
| 1831508662 | Matthew Bryant Mitchell | Physical Therapist | 400 Bald Hill Rd #511, Warwick, RI 02886 | 2014-08-06 |
| Find all providers in zip 02886 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073076121 | Parent Support Network of Rhode Island | Peer Specialist | 535 Centerville Rd Ste 202, Warwick, RI 02886-4376 | 2019-04-07 |
| 1073071320 | Kimberly Marie Mosier | Peer Specialist | 2756 Post Road, Warwick, RI 02886 | 2019-03-06 |
| 1619435963 | Jessica Downing | Peer Specialist | 2756 Post Road, Warwick, RI 02886 | 2019-03-06 |
| 1932667227 | Paul A Bechard | Peer Specialist | 2756 Post Road, Warwick, FL 02886 | 2019-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403045 | Opendoors | Peer Specialist | 485 Plainfield St, Providence, RI 02909-4459 | 2020-07-02 |
| 1518439439 | Michael Galipeau Consulting | Peer Specialist | 1005 Main St Unit 1104, Pawtucket, RI 02860-7804 | 2018-12-18 |
| 1164923553 | Codac Inc | Peer Specialist | 3 Regan Ct, Cranston, RI 02920 | 2018-02-22 |
| 1891157509 | Amos House | Peer Specialist | 460 Pine St, Providence, RI 02907-1358 | 2016-03-22 |
| 1487916136 | East Bay Community Action Program | Peer Specialist | 100 Bullocks Point, Riverside, RI 02915 | 2012-06-08 |
| 1679799217 | Codac Inc | Peer Specialist | 350 Columbia St, Codac South County, Wakefield, RI 02879 | 2007-04-18 |
| 1215153945 | Codac Inc | Peer Specialist | 349 Huntington Ave, Codac Providence, Providence, RI 02909 | 2007-04-18 |
| 1699385831 | Koren Carbuccia | Peer Specialist | 485 Plainfield St, Providence, RI 02909-4459 | 2020-08-03 |
| 1629632609 | Codac Inc | Peer Specialist | 600 Pawtucket Ave, Pawtucket, RI 02860-6059 | 2019-04-25 |
| 1437712320 | Mary-jean Elizabeth Allard | Peer Specialist | 344 Washington Street, Providence, RI 02903 | 2019-04-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.