EMMA PENDLETON BRADLEY HOSPITAL (NPI# 1164627352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164627352 |
| Entity Type | Organization |
| Organization Name | EMMA PENDLETON BRADLEY HOSPITAL |
| Practice Address |
1011 Veterans Memorial Pkwy Riverside RI 02915-5061 |
| Mailing Address |
117 Ellenfield St Providence RI 02905-4513 |
| Practice Telephone | 4014445640 |
| Mailing Telephone | 4014445640 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2013-07-01 |
| Authorized Official Name | MRS. MARY WAKEFIELD (EXECUTIVE VP & CFO) |
| Authorized Official Telephone | 4014445640 |
| Is Organization Subpart | Y |
| Parent Organization Name | LIFESPAN CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | HOS00123 | RI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | BH46731 | 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 |
| 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 |
| 1225017486 | Emma Pendleton Bradley Hospital | Psychiatric Hospital | 1011 Veterans Memorial Pkwy, East Providence, RI 02915-5061 | 2006-01-16 |
| Street Address |
1011 VETERANS MEMORIAL PKWY |
| City | RIVERSIDE |
| State | RI |
| Zip Code | 02915-5061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104803535 | Noha Sadek | Psychiatry & Neurology | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2005-12-28 |
| 1982210977 | Rachel Weitz | Nurse Practitioner | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2020-09-16 |
| 1558975490 | Brianna Marie Daniele | Social Worker | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2020-09-08 |
| 1720602410 | Sarah Herrick Morris | Psychologist | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2020-05-29 |
| 1427671379 | Marykate Oakley | Psychologist | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2020-05-27 |
| 1295357432 | Donna Lee Brady | Social Worker | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2020-05-11 |
| 1871113001 | Erin Elizabeth O'connor | Psychologist | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2020-04-17 |
| 1396373478 | Virginia Marie Newcomb | Counselor | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2020-04-01 |
| 1679111926 | Jamie Amanda Turcotte | Counselor | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5099 | 2019-12-17 |
| 1083259576 | Theresa A'vant-antonio | Occupational Therapist | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2019-11-08 |
| 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 |
|---|---|---|---|---|
| 1629264775 | Jerry L. Pettis Va Memorial Hospital | Psychiatric Hospital | 19845 San Luis Rey Ln, Riverside, CA 92508-6494 | 2007-09-22 |
| 1215566989 | Jeannie H Jung | Psychiatric Hospital | 5900 Brockton Ave, Riverside, CA 92506-1862 | 2020-04-05 |
| 1700437084 | Yucui Chen Inc | Psychiatric Hospital | 5900 Brockton Ave, Riverside, CA 92506-1862 | 2019-09-27 |
| 1407397672 | Adekemi Adedipe | Psychiatric Hospital | 5900 Brockton Ave, Riverside, CA 92506-1862 | 2017-03-20 |
| 1528519766 | Bradley Hospital | Psychiatric Hospital | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2016-10-24 |
| 1003243577 | Vista Behavioral Hospital LLC | Psychiatric Hospital | 5900 Brockton Ave, Riverside, CA 92506-1862 | 2013-09-30 |
| 1912265323 | Emma Pendleton Bradley Hospital | Psychiatric Hospital | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2012-04-24 |
| 1306168430 | Brockton Investments & Associates, LLC | Psychiatric Hospital | 5900 Brockton Ave, Riverside, CA 92506-1862 | 2010-02-16 |
| 1336384353 | Riverside County Regional Medical Center | Psychiatric Hospital | 9990 County Farm Rd, Suite 1, Riverside, CA 92503-3542 | 2008-12-04 |
| 1851545644 | Riverside County Regional Medical Center | Psychiatric Hospital | 9990 County Farm Rd, Riverside, CA 92503-3542 | 2008-11-06 |
| Find all providers in RIVERSIDE | ||||
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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.