Broadway Psychotherapy, Inc. in Providence - Clinical
Broadway Psychotherapy, Inc. - NPI 1811162316
Broadway Psychotherapy, Inc. is a Clinical in Providence, Rhode Island. Broadway Psychotherapy, Inc. practices all healthcare services and medical treatments related to Clinical. The NPI Number for Broadway Psychotherapy, Inc. is 1811162316. The last update date is 2017-05-03.
Broadway Psychotherapy, Inc.'s current location address is 347 Broadway, Providence, Rhode Island. You can contact this provider via phone number 4012709808 and fax number 4013547455. The mailing address for Broadway Psychotherapy, Inc. is 347 Broadway, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Broadway Psychotherapy, Inc. |
|---|---|
| Address | 347 Broadway, Providence, Rhode Island |
| Phone Number | 4012709808 |
| Fax Number | 4013547455 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Migneault P. Jeffrey |
| Credentials | PH.D. |
| Telephone Number | 4012709808 |
NPI Number Detail
| NPI Number | 1811162316 |
|---|---|
| Provider Enumeration Date | 2008-04-25 |
| Last Updated Date | 2017-05-03 |
Provider Mailing Address Detail
| Address | 347 Broadway |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29091101 |
| Phone Number | 4012709808 |
| Fax Number | 4013547455 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS00585 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique provider identifier assigned to Broadway Psychotherapy, Inc.?
The Broadway Psychotherapy, Inc. has been issued the NPI (National Provider Identifier) 1811162316 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Broadway Psychotherapy, Inc. is physically located?
The Broadway Psychotherapy, Inc. is physically situated at the following address: 347 Broadway, Providence, RI, 29091101.
What is the area of specialization for Broadway Psychotherapy, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Broadway Psychotherapy, Inc. is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did Broadway Psychotherapy, Inc. receive its 1811162316 assignment from the Centers for Medicare & Medicaid Services?
The Broadway Psychotherapy, Inc. was assigned its 1811162316 on 2008-04-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Broadway Psychotherapy, Inc. most recently updated or refreshed?
The details pertaining to the Broadway Psychotherapy, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2017-05-03.
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