CHILD SPECIALTY SERVICES LLC


Address: 11 King Charles Dr # 4b, Portsmouth, RI 02871-1446
Phone: (401) 626-6165

CHILD SPECIALTY SERVICES LLC (NPI# 1932626231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932626231
Entity Type Organization
Organization Name CHILD SPECIALTY SERVICES LLC
Practice Address 11 King Charles Dr # 4b
Portsmouth
RI 02871-1446
Practice Telephone (401) 626-6165
Mailing Telephone 4016266165
Enumeration Date 2017-08-28
Last Update Date 2019-02-27
Authorized Official Name MARCY ATKINS (OWNER)
Authorized Official Telephone 4016266165
Authorized Official Credential PSY. D
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PS00901 RI Behavioral Health & Social Service Providers

Office Location

Street Address 11 KING CHARLES DR # 4B
City PORTSMOUTH
State RI
Zip Code 02871-1446

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1235400953 Jennifer L Gray Psychologist 362 Sherburne Rd, Portsmouth, NH 03801-4744 2012-01-26
1578709176 Douglas B. Bernon Psychologist 13 Baker Rd, Portsmouth, RI 02871-1708 2009-01-02
1568607521 Joseph M. Carver, Ph.d., Inc. Psychologist 500 Chillicothe St, Suite 306, Portsmouth, OH 45662-4179 2008-12-04
1801011754 Sara Julianne Lauren Psychologist 118 Maplewood Ave Unit B2, Portsmouth, NH 03801-3787 2007-04-16
1063557734 Christina A Carmody Psychologist 3116 Rolen Dr, Portsmouth, VA 23703-4726 2007-02-21
1760521843 Jeffrey M Wagner Psychologist 500 Market Street 1-g, Portsmouth, NH 03801 2007-02-06
1346316387 Ellen Harrison Barnett Psychologist 58 Washington St Ste 1, Portsmouth, NH 03801-4639 2006-11-28
1871697227 Howard Israel Benesch Psychologist 11 King Charles Drive, Suite 11 4b, Portsmouth, RI 02871 2006-09-07
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Competitor

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City PORTSMOUTH
Zip Code 02871

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Dataset Information

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.

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