CANAAN PSYCHOTHERAPY INC, (NPI# 1982118295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982118295 |
| Entity Type | Organization |
| Organization Name | CANAAN PSYCHOTHERAPY INC, |
| Practice Address |
85 Beach St Westerly RI 02891-2717 |
| Mailing Address |
140 Lake Dr West Greenwich RI 02817-1563 |
| Practice Telephone | 4015966866 |
| Practice Fax Number | 4013973488 |
| Mailing Telephone | 4013383782 |
| Mailing Fax Number | 4013973488 |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MRS. CYNTHIA P LONGWAY (PRESIDENT) |
| Authorized Official Telephone | 4013383782 |
| Authorized Official Credential | APRN CNS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
CAPRN00031 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | BEACON HEALTH OPTIONS | BNP001353 | 01 |
| RI | OPTUM | 1861447831 | 01 |
| RI | BCBSRI | 1861447831 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 780 Victory Hwy, West Greenwich, RI 028172193 | 4013853936 | 4013973488 |
| 828 Toll Gate Rd, Warwick, RI 028862721 | 4013853936 | 4013973488 |
| Street Address |
85 BEACH ST |
| City | WESTERLY |
| State | RI |
| Zip Code | 02891-2717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093776296 | Russell Drew Stokes | Pediatrics | 85 Beach St, Suite B, Westerly, RI 02891-2717 | 2006-03-29 |
| 1972059475 | Ellen Girouard | Physical Therapist | 85 Beach St, Bldg. D, Westerly, RI 02891-2717 | 2016-08-25 |
| 1134553167 | Alexis Anne Bobek | Clinical Nurse Specialist | 85 Beach St, Building B, Westerly, RI 02891-2717 | 2013-08-27 |
| 1457628059 | Amanda Hyman | Physical Therapist | 85 Beach St, Building D, Lower Level, Westerly, RI 02891-2717 | 2011-11-27 |
| 1528373685 | Martha M. Vigneault | Physical Therapist | 85 Beach St, Westerly, RI 02891-2717 | 2010-08-13 |
| 1215177308 | Drs Stadelmann&gulino,inc | Dentist | 85 Beach St, Westerly, RI 02891-2717 | 2009-03-02 |
| 1497993125 | Paulette L Chamberas | Marriage & Family Therapist | 85 Beach St, Westerly, RI 02891-2717 | 2009-02-03 |
| 1275797110 | Seaside Internal Medicine,inc. | Internal Medicine | 85 Beach St, 85 Beach St., Westerly, RI 02891-2717 | 2008-07-10 |
| 1902094758 | Focus Physical Therapy,llc | Clinic/Center | 85 Beach St, Westerly, RI 02891-2717 | 2007-10-05 |
| 1740301167 | Mourad Rahim | Dentist | 85 Beach St, Bldg. D, Westerly, RI 02891-2717 | 2007-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841741931 | Orthopedics Rhode Island, Inc | Orthopaedic Surgery | 268 Post Road, Westerly, RI 02891 | 2016-10-24 |
| 1235554072 | Ocean State Urgent Care Center of Westerly, LLC | Clinic/Center | 77 Franklin Street, Westerly, RI 02891 | 2014-03-04 |
| 1972843530 | Christine Elizabeth Mcauliffe | Psychologist | 93 Tower Street, Westerly, RI 02891 | 2013-02-19 |
| 1902156631 | Gustave Polzer Brucker Iv | Physical Therapist | 33 Pearl Street, Westerly, RI 02891 | 2012-09-10 |
| 1194964098 | Katherine Anne Chesson | Social Worker | 16 High St Ste 6, Westerly, RI 02891 | 2009-02-17 |
| 1679758114 | Rhode Island Cvs Pharmacy,l.l.c. | Durable Medical Equipment & Medical Supplies | 151 Franklin St., Westerly, RI 02891 | 2008-01-03 |
| 1316060346 | Glen Edward Foden | Dentist | 13 Grove Avenue, Westerly, RI 02891 | 2007-04-06 |
| 1144344888 | Town of Westerly | Local Education Agency (LEA) | 15 Highland Avenue, Westerly, RI 02891 | 2007-03-19 |
| 1144365644 | Babcock Village Apartments | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 122 Cross Street, Westerly, RI 02891 | 2007-02-21 |
| 1477698298 | Monica Lee Bailey | Counselor | 28 Wells Street, Westerly, RI 02891 | 2007-02-20 |
| Find all providers in zip 02891 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134553167 | Alexis Anne Bobek | Clinical Nurse Specialist | 85 Beach St, Building B, Westerly, RI 02891-2717 | 2013-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821256009 | Joan Wright Harrison | Clinical Nurse Specialist | 156 Meeting St, Providence, RI 02906-1321 | 2008-05-25 |
| 1063687317 | Laura Beth Chalk | Clinical Nurse Specialist | 208 Governor St Fl 2, Providence, RI 02906-3246 | 2008-04-28 |
| 1063628717 | Donald T. Bobola | Clinical Nurse Specialist | 170 Bradford St, Bristol, RI 02809-2367 | 2007-05-16 |
| 1225073638 | The Miriam Hospital | Clinical Nurse Specialist | 146 W River St Ste 11a, Providence, RI 02904-2609 | 2006-06-19 |
| 1558328567 | Catherine Anne Viens | Clinical Nurse Specialist | East Bay Center, 2 Old County Road, Barrington, RI 02806 | 2006-04-26 |
| 1497711030 | Donna M Leite | Clinical Nurse Specialist | 1130 Ten Rod Rd Ste E-204, C/o Associates In Psychotherapy, North Kingstown, RI 02852 | 2006-04-22 |
| 1487177440 | Julia Cole Burke | Clinical Nurse Specialist | 530 N Main St, Providence, RI 02904-5762 | 2017-07-21 |
| 1801246616 | Garden City Psychiatry LLC | Clinical Nurse Specialist | 105 Sockanosset Cross Rd, Suite 320, Cranston, RI 02920-5560 | 2016-06-13 |
| 1245695964 | Petitpas Psychiatric Services, LLC | Clinical Nurse Specialist | 900 Reservoir Ave, Ste.2, Cranston, RI 02910-4453 | 2015-12-22 |
| 1568839355 | Jennifer Wishtischin | Clinical Nurse Specialist | 528 N Main St, Providence, RI 02904-5757 | 2015-08-27 |
| Find all providers with the same taxonomy | ||||
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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.