East Bay Counsling Center, Inc.. in Pawtucket - Psychiatry
East Bay Counsling Center, Inc.. - NPI 1811079502
East Bay Counsling Center, Inc.. is a Psychiatry in Pawtucket, Rhode Island. East Bay Counsling Center, Inc.. practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for East Bay Counsling Center, Inc.. is 1811079502. The last update date is 2010-09-23.
East Bay Counsling Center, Inc..'s current location address is 77 Beechwood Ave, Pawtucket, Rhode Island. You can contact this provider via phone number 4017283400 and fax number 4017243990. The mailing address for East Bay Counsling Center, Inc.. is 77 Beechwood Ave, Pawtucket, Rhode Island. To know further, please read the information below!
Provider Profile Detail
Provider Organization | East Bay Counsling Center, Inc.. |
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Address | 77 Beechwood Ave, Pawtucket, Rhode Island |
Phone Number | 4017283400 |
Fax Number | 4017243990 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DIRECTOR |
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Authorized Official Name | Gavalya. Md Nelson Richard |
Credentials | M. D. |
Telephone Number | 4017283400 |
NPI Number Detail
NPI Number | 1811079502 |
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Provider Enumeration Date | 2006-10-20 |
Last Updated Date | 2010-09-23 |
Provider Mailing Address Detail
Address | 77 Beechwood Ave |
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City | Pawtucket |
State | Rhode Island (RI) |
Post Code | 28605409 |
Phone Number | 4017283400 |
Fax Number | 4017243990 |
Provider's Primary Taxonomy Detail
Speciality | Psychiatry |
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Taxonomy | 2084P0800X |
Licence No | RIMD4323 |
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
30095-1 | RI | BCBS |
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What is the unique identifier code issued to East Bay Counsling Center, Inc.. by the Centers for Medicare & Medicaid Services (CMS)?
The East Bay Counsling Center, Inc.. has been assigned the NPI (National Provider Identifier) 1811079502. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the East Bay Counsling Center, Inc.. located?
The East Bay Counsling Center, Inc.. is located at 77 Beechwood Ave, Pawtucket, RI 28605409.
What is East Bay Counsling Center, Inc..'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for East Bay Counsling Center, Inc.. is Psychiatry, and the taxonomy code that categorizes this field of expertise is 2084P0800X.
When was the East Bay Counsling Center, Inc..'s 1811079502 issued?
The East Bay Counsling Center, Inc..'s 1811079502 was issued on 2006-10-20.
As of what date were the East Bay Counsling Center, Inc..'s details last updated?
The information pertaining to the East Bay Counsling Center, Inc.., including its address, specialty, and other details, was most recently updated on 2010-09-23.
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