THEADORE PERRY (NPI# 1336677541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336677541 |
Entity Type | Individual |
Full Name | THEADORE PERRY |
Practice Address |
251 Indiana Ave Providence RI 02905-2822 |
Practice Telephone | 4014899977 |
Mailing Telephone | 4014899977 |
Enumeration Date | 2017-06-01 |
Last Update Date | 2017-06-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Street Address |
251 INDIANA AVE |
City | PROVIDENCE |
State | RI |
Zip Code | 02905-2822 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
Find all providers in zip 02905 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962002006 | East Side Psychotherapy, Inc. | Community/Behavioral Health | 205 Waterman St # 201, Providence, RI 02906-4313 | 2020-10-28 |
1255863387 | Ludmyr Merlain | Community/Behavioral Health | 52 Felix St, Providence, RI 02908-4837 | 2017-03-29 |
1922478056 | Clear Recovery of Cache Valley | Community/Behavioral Health | 277 N Spring Creek Pkwy, Providence, UT 84332-9775 | 2015-10-01 |
1992053896 | Harbor House | Community/Behavioral Health | 12 Bassett St, Providence, RI 02903-4206 | 2012-08-27 |
1578859179 | Whitmarsh Corporation | Community/Behavioral Health | 1055 N Main St, Providence, RI 02904-5718 | 2011-06-22 |
1528352424 | Capital City | Community/Behavioral Health | 25 Danforth St, Providence, RI 02908-3610 | 2011-06-08 |
1295028272 | The Genesis Center | Community/Behavioral Health | 620 Potters Ave, Providence, RI 02907-2931 | 2011-05-24 |
1568608461 | Adoption Rhode Island | Community/Behavioral Health | 2 Bradford St, Providence, RI 02903-1092 | 2008-12-23 |
1457549578 | Nickerson Community Center | Community/Behavioral Health | 97 Delaine St, Providence, RI 02909-2726 | 2007-10-15 |
1821218587 | Map Behavioral Health Serv. Inc. | Community/Behavioral Health | 66 Burnett Street, Providence, RI 02907 | 2007-04-26 |
Find all providers in PROVIDENCE |
City | PROVIDENCE |
Zip Code | 02905 |
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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.