Basic Information
| Provider Information | |||||||||
| NPI: | 1437210044 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NEWPORT COUNTY COMMUNITY MENTAL HEALTH CENTER, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 127 JOHNNY CAKE HILL RD | ||||||||
| Address2: | |||||||||
| City: | MIDDLETOWN | ||||||||
| State: | RI | ||||||||
| PostalCode: | 028425674 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4018461214 | ||||||||
| FaxNumber: | 4013246251 | ||||||||
| Practice Location | |||||||||
| Address1: | 127 JOHNNY CAKE HILL RD | ||||||||
| Address2: | |||||||||
| City: | MIDDLETOWN | ||||||||
| State: | RI | ||||||||
| PostalCode: | 028425674 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4018461214 | ||||||||
| FaxNumber: | 4013246251 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/13/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | BARTLETT | ||||||||
| AuthorizedOfficialFirstName: | MIRIAM | ||||||||
| AuthorizedOfficialMiddleName: | J | ||||||||
| AuthorizedOfficialTitleorPosition: | PROGRAM COORDINATOR, HUMAN RESOURCE | ||||||||
| AuthorizedOfficialTelephone: | 4018461213 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | BA | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | LCDP00296 | RI | Y | Agencies | Community/Behavioral Health |
No ID Information.