THE PROVIDENCE CENTER (NPI# 1609818210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609818210 |
| Entity Type | Organization |
| Organization Name | THE PROVIDENCE CENTER |
| Practice Address |
90 Plain St Providence RI 02903-4817 |
| Mailing Address |
951 N Main St Providence RI 02904-5759 |
| Practice Telephone | 4015280050 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DONNA RICHARD (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 4015280140 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 631.8 | RI | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | BLUE CROSS | 23770 | 01 |
| RI | BEACON | 1021730 | 01 |
| RI | UNITED BEHAVIORAL HEALTH | 50-64724 | 01 |
| RI | PC02213 | 05 | |
| RI | BLUE CHIP | 410282 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679025696 | The Providence Center | Home Health | 195 California Ave, Providence, RI 02905-4323 | 2016-10-25 |
| 1043240799 | The Providence Center | Peer Specialist | 890 Centerville Rd, Warwick, RI 02886-4397 | 2006-07-05 |
| 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 |
90 PLAIN ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02903-4817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831416403 | Virginia Mensah | Obstetrics & Gynecology | 90 Plain St, Providence, RI 02903-4817 | 2010-04-22 |
| 1578714242 | Victoria Snegovskikh | Obstetrics & Gynecology | 90 Plain St, Providence, RI 02903-4817 | 2008-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
| 1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
| 1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
| 1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
| 1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
| 1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
| 1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
| 1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
| 1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
| 1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
| Find all providers in zip 02903 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407076227 | Youth Services International Holdings | Residential Treatment Facility, Emotionally Disturbed Children | 188 Academy Ave, Providence, RI 02908-4452 | 2007-04-26 |
| 1245362185 | Washington Park Citizens Association, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1279 Broad St, Providence, RI 02905-2935 | 2007-03-09 |
| 1952524142 | The Whitmarsh Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1055 N Main St, Providence, RI 02904 | 2007-04-10 |
| 1457476954 | Groden Center, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 86 Mount Hope Ave, Providence, RI 02906-1648 | 2007-03-21 |
| 1063547776 | Family Service of Rhode Island Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 134 Thurbers Ave, Providence, RI 02905-4754 | 2007-02-22 |
| 1659442291 | Communities for People, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 623 Atwells Ave, Providence, RI 02909-7403 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760606396 | Community Solutions, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 785 Greenville Ave, Johnston House, Johnston, RI 02919-1329 | 2007-04-13 |
| 1508080136 | Community Solutions, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 344 Hopkins Hill Rd, Coventry House, Coventry, RI 02816-6332 | 2007-04-13 |
| 1235259631 | Ocean Tides | Residential Treatment Facility, Emotionally Disturbed Children | 635 Ocean Rd, Narragansett, RI 02882-1314 | 2007-03-30 |
| 1386760536 | Perspectives Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 125 Sand Turn Rd, South Kingstown, RI 02879 | 2007-03-21 |
| 1124152392 | Children's Shelter of Blackstone Valley, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 15 Gates St, Pawtucket, RI 02861-3225 | 2007-03-16 |
| 1457484875 | Lighthouse for Youth | Residential Treatment Facility, Emotionally Disturbed Children | 81 Spencer Ct, Wakefield, RI 02879-2820 | 2007-03-14 |
| 1760513600 | Oakmont Community Resources, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 35 Amey St, Pawtucket, RI 02860-1106 | 2007-03-09 |
| 1508997628 | Turning Point | Residential Treatment Facility, Emotionally Disturbed Children | 5 Kids Way, Pawtucket, RI 02860-2206 | 2007-03-08 |
| 1881735389 | Justice Resource Institute, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 818 Dyer Ave, Cranston, RI 02920-6714 | 2007-02-09 |
| 1598834673 | Eckerd Youth Alternatives Inc | Residential Treatment Facility, Emotionally Disturbed Children | One Camp E Hun Tee Place, Exeter, RI 02822-1406 | 2006-11-06 |
| Find all providers with the same taxonomy | ||||
| City | PROVIDENCE |
| Zip Code | 02903 |
Please comment or provide details below to improve the information on THE PROVIDENCE CENTER.
| 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.