EMMA PENDLETON BRADLEY HOSPITAL (NPI# 1225017486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225017486 |
| Entity Type | Organization |
| Organization Name | EMMA PENDLETON BRADLEY HOSPITAL |
| Practice Address |
1011 Veterans Memorial Pkwy East Providence RI 02915-5061 |
| Mailing Address |
117 Ellenfield St Suite 101 Providence RI 02905-4513 |
| Practice Telephone | 4014321000 |
| Mailing Telephone | 4014445640 |
| Mailing Fax Number | 4014445462 |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2014-04-14 |
| Authorized Official Name | MRS. MARY A WAKEFIELD (EXECUTIVE VP & CFO) |
| Authorized Official Telephone | 4014447914 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | RI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 4104003 | 05 | |
| RI | OP04003 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912265323 | Emma Pendleton Bradley Hospital | Psychiatric Hospital | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2012-04-24 |
| 1073705943 | Emma Pendleton Bradley Hospital | Psychiatry & Neurology | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2007-08-15 |
| 1164627352 | Emma Pendleton Bradley Hospital | Psychiatric Hospital | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2007-06-18 |
| 1578768867 | Emma Pendleton Bradley Hospital | Psychiatric Hospital | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2007-06-18 |
| 1659576858 | Emma Pendleton Bradley Hospital | Psychiatric Hospital | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2007-06-18 |
| Street Address |
1011 VETERANS MEMORIAL PKWY |
| City | EAST PROVIDENCE |
| State | RI |
| Zip Code | 02915-5061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609903996 | Daniel Paul Dickstein | Pediatrics | 1011 Veterans Memorial Pkwy, East Providence, RI 02915-5061 | 2007-02-27 |
| 1548291867 | Jennifer Schnirman | Social Worker | 1011 Veterans Memorial Pkwy, East Providence, RI 02915-5061 | 2006-07-05 |
| 1144250747 | Beverly Waldman Rich | Nurse Practitioner | 1011 Veterans Memorial Pkwy, East Providence, RI 02915-5061 | 2006-07-03 |
| 1548297369 | Gary Regan | Social Worker | 1011 Veterans Memorial Pkwy, East Providence, RI 02915-5061 | 2006-06-27 |
| 1972530160 | Charles L Wade | Social Worker | 1011 Veterans Memorial Pkwy, East Providence, RI 02915-5061 | 2006-06-26 |
| 1114954302 | Kimberly A Waggoner | Social Worker | 1011 Veterans Memorial Pkwy, East Providence, RI 02915-5061 | 2006-06-26 |
| 1780610170 | Pamela J Plucinski | Clinical Nurse Specialist | 1011 Veterans Memorial Pkwy, East Providence, RI 02915-5061 | 2006-06-25 |
| 1538195359 | Michelle Lori Messier | Social Worker | 1011 Veterans Memorial Pkwy, East Providence, RI 02915-5061 | 2006-06-23 |
| 1528004892 | Kelly Taber Chasse | Social Worker | 1011 Veterans Memorial Pkwy, East Providence, RI 02915-5061 | 2006-06-22 |
| 1740226984 | Marybeth O'donnell Waite | Social Worker | 1011 Veterans Memorial Pkwy, East Providence, RI 02915-5061 | 2006-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881101335 | Brown Medicine | Clinic/Center | 62-68 Amaral Street, East Providence, RI 02915 | 2018-01-05 |
| 1093245391 | Robyn Lee Cranson | Pharmacist | 1086 Willet Ave, Rite Aid Pharmacy, Riverside, RI 02915 | 2017-06-19 |
| 1548703622 | Rebecca Leigh Bejma | Registered Nurse | 100 Bullocks Ave, East Providence, RI 02915 | 2016-11-22 |
| 1568833408 | Riverside Smiles Theodore I Goldberg, Dmd PC & Associates | Dentist | 250 Wampanoag Trail Suite 103, Riverside, RI 02915 | 2015-10-19 |
| 1003165796 | Sandra Cairo | Registered Nurse | 125 Bayview Ave, Riverside, RI 02915 | 2012-09-10 |
| 1487916136 | East Bay Community Action Program | Peer Specialist | 100 Bullocks Point, Riverside, RI 02915 | 2012-06-08 |
| 1497041453 | Bethany Marie Goldberg | Nurse Practitioner | 38 Amaral Street, Riverside, RI 02915 | 2011-06-28 |
| 1790078947 | Matthew Lynch | Internal Medicine | 375 Wampanoag Trl Ste 302a, Riverside, RI 02915 | 2011-05-20 |
| 1679866206 | Jill Stone | Occupational Therapist | 57 Euclid Ave, East Providence, RI 02915 | 2011-05-16 |
| 1770884462 | Kristin F. Cadieux | Nurse Practitioner | 375 Wampanoag Trl Ste 102, Riverside, RI 02915 | 2010-11-11 |
| Find all providers in zip 02915 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992968663 | Department of Veterans Affairs | Psychiatric Hospital | 860 Chalkstone Ave, Providence, RI 02902-0001 | 2008-07-03 |
| 1528519766 | Bradley Hospital | Psychiatric Hospital | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2016-10-24 |
| 1912265323 | Emma Pendleton Bradley Hospital | Psychiatric Hospital | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2012-04-24 |
| 1164627352 | Emma Pendleton Bradley Hospital | Psychiatric Hospital | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2007-06-18 |
| 1578768867 | Emma Pendleton Bradley Hospital | Psychiatric Hospital | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2007-06-18 |
| 1659576858 | Emma Pendleton Bradley Hospital | Psychiatric Hospital | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2007-06-18 |
| 1710900261 | Patricia Ann Hastings | Psychiatric Hospital | 830 Chalkstone Avenue, 116f, Providence, RI 02908 | 2006-07-25 |
| City | EAST PROVIDENCE |
| Zip Code | 02915 |
Please comment or provide details below to improve the information on EMMA PENDLETON BRADLEY HOSPITAL.
| 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.