Mental Health Consultant Service
Clinic/Center, Adult Mental Health in Providence, RI. Organization (NPI-2).
Details
- NPI
- 1104332725
- Entity type
- Organization (NPI-2)
- Legal business name
- Mental Health Consultant Service
- Organization subpart
- No
- Enumeration date
- Dec 19, 2017
- Certification date
- Jan 24, 2024
- Last updated
- Jan 24, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Practice location
400 Reservoir Ave Ste 2gProvidence, RI 02907-3594
Phone 401-632-4470 · Fax 401-632-4470
Mailing address
400 Reservoir Ave Ste 2gProvidence, RI 02907-3594
Phone 401-632-4470 · Fax 401-632-4470
Authorized official
Cristiana Morena Ritwik
Owner
4016324470
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 12 Adult Mental Health Clinic/Center providers in Providence · All 11,044 providers in Providence
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