NEWPORT COUNTY COMMUNITY MENTAL HEALTH CENTER, INC. (NPI# 1093713174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093713174 |
| Entity Type | Organization |
| Organization Name | NEWPORT COUNTY COMMUNITY MENTAL HEALTH CENTER, INC. |
| Practice Address |
127 Johnny Cake Hill Rd Middletown RI 02842-5674 |
| Practice Telephone | 4018461213 |
| Practice Fax Number | 4018489151 |
| Mailing Telephone | 4018461213 |
| Mailing Fax Number | 4018489151 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2016-11-15 |
| Authorized Official Name | STEPHANIE COSTA (VP OF ADMINISTRATION) |
| Authorized Official Telephone | 4018461213 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
626 | RI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 9001892 | 05 | |
| RI | BLUE CROSS BLUE SHIELD | 1892 | 01 |
| RI | NC02211 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NEWPORT COUNTY COMMUNITY MENTAL HEALTH CENTER, INC. | 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 |
| Street Address |
127 JOHNNY CAKE HILL RD |
| City | MIDDLETOWN |
| State | RI |
| Zip Code | 02842-5674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980157 | Jacqueline Marie Rogers | Social Worker | 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 | 2020-10-19 |
| 1043836521 | Janice Ann Bernstein | Registered Nurse | 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 | 2020-06-22 |
| 1578189049 | Korie Lynn Medeiros | Registered Nurse | 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 | 2020-06-22 |
| 1578069365 | Blanka Sumbarauskas | Registered Nurse | 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 | 2018-04-02 |
| 1114430576 | Jennifer Marilyn Peters | Social Worker | 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 | 2017-11-08 |
| 1285145417 | Alice Raim | Counselor | 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 | 2017-10-16 |
| 1275059487 | Jillian Mcleish | Social Worker | 127 Johnny Cake Hill Rd, Middletown, RI 02842 | 2017-08-18 |
| 1194250472 | Alycia Goncalo | Registered Nurse | 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 | 2017-04-25 |
| 1063946770 | Cynthia Homen | Registered Nurse | 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 | 2017-04-19 |
| 1366982431 | Anne Carney | Registered Nurse | 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 | 2017-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427671478 | Shannon M. Pine | Counselor | E Admiralty Drive, 2, Middletown, RI 02842 | 2020-05-26 |
| 1912425968 | Gail Demarco | Registered Nurse | 127 Johnnycake Hill Road, Middletown, RI 02842 | 2017-08-30 |
| 1790201861 | Logan Christopher Menard | Specialist/Technologist | 4 Orville Drive, Middletown, RI 02842 | 2017-08-20 |
| 1295149714 | Jacquelyn Marez | Occupational Therapy Assistant | 1998 West Main Rd, Middletown, RI 02842 | 2014-06-12 |
| 1144660465 | Brittney Lea Barry | Audiologist | Naval Health Clinic New England 43 Smith Rd., Newport, RI 02842 | 2013-07-01 |
| 1912262445 | Wendy S Drysdale | Student in an Organized Health Care Education/Training Program | 372 Purgatory Road, St. George's School, Middletown, RI 02842 | 2012-07-11 |
| 1912294778 | Laurie B Phenix | Pharmacist | 88 Silva Lane, Tech 4, Suite 110, Middletown, RI 02842 | 2011-06-30 |
| 1023278249 | Ann Marie Efflandt | Speech-Language Pathologist | 333 Green Ave, Middletown, RI 02842 | 2008-06-11 |
| 1669631487 | Tiffany Bourquin | Counselor | 575 E Main Rd Unit 4, Middletown, RI 02842 | 2008-06-06 |
| 1104048396 | Valley Primary Care Inc | Family Medicine | 294 Valley Road, Middletown, RI 02842 | 2007-05-03 |
| Find all providers in zip 02842 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
| 1801496831 | Journey To Serenity LLC | Clinic/Center | 600 N Broad St Ste 5, Middletown, DE 19709-1032 | 2020-10-28 |
| 1033722046 | Connections Community Support Programs Inc. | Clinic/Center | 706 Port Penn Rd, Middletown, DE 19709-8926 | 2020-08-28 |
| 1417456492 | Metanoia Counseling, LLC | Clinic/Center | 101 West Park Place, Middletown, DE 19709 | 2018-02-06 |
| 1962867556 | Mingze Medical P.C. | Clinic/Center | 197 Monhagen Ave, Middletown, NY 10940-6020 | 2015-12-23 |
| 1356974612 | Bhg Lvi, LLC | Clinic/Center | 26 Valley Rd Ste 202, Middletown, RI 02842-6371 | 2020-02-14 |
| 1437614328 | Self Reflection Psychological Services, Pllc | Clinic/Center | 210 E Main St, Middletown, NY 10940-4038 | 2019-02-05 |
| 1871091066 | Kiara Moore Therapeutic Services | Clinic/Center | 421 Cicero Xing, Middletown, DE 19709-9860 | 2018-01-23 |
| 1053732883 | Pittman Behavioral Health LLC | Clinic/Center | 102 Sleepy Hollow Dr, Suite 204 Bunker Hill Building, Middletown, DE 19709-5841 | 2013-12-20 |
| 1528341740 | Alessandra Buonopane Md Psychiatry and Addiction LLC | Clinic/Center | 192 S Main St, Middletown, CT 06457-3727 | 2011-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457905606 | Jeanine Le-kreuzer, Lmhc | Clinic/Center | 3421 Pawtucket Ave, East Providence, RI 02914 | 2019-07-26 |
| 1376022699 | Oak Hill Counseling and Wellness, LLC | Clinic/Center | 100 Lafayette St Ste 301, Pawtucket, RI 02860-6008 | 2018-08-08 |
| 1295184141 | Kristen Fuller | Clinic/Center | 140 Larch St Apt 2, Providence, RI 02906-2618 | 2016-06-10 |
| 1033259478 | The Journey To Hope, Health & Healing, Inc | Clinic/Center | 985 Plainfield Street, Johnston, RI 02919 | 2007-02-07 |
| 1568543361 | West Bay Psychiatric Associates | Clinic/Center | 300 Centerville Road, Summit West Suite 101, Warwick, RI 02886 | 2006-10-18 |
| 1174521488 | R.i.s.a.t., LLC | Clinic/Center | 66 Pavilion Ave, Providence, RI 02905-1522 | 2005-07-11 |
| 1316545114 | New Rhode Counseling LLC | Clinic/Center | 175 East Ave, Harrisville, RI 02830-1501 | 2020-10-14 |
| 1467069237 | Sarah Donfrancesco Counseling LLC | Clinic/Center | 2220 Plainfield Pike Ste 5w, Cranston, RI 02921-2001 | 2020-09-25 |
| 1487267449 | Silifat Adedayo Ainabe | Clinic/Center | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2020-08-28 |
| 1508475880 | Ri Therapeutic Alliance, LLC | Clinic/Center | 18 Hilltop Dr, N Scituate, RI 02857-1215 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLETOWN |
| Zip Code | 02842 |
Please comment or provide details below to improve the information on NEWPORT COUNTY COMMUNITY MENTAL HEALTH CENTER, INC..
| 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.