Individual provider Active NPI

Ronald C Gobeil, DO

  • Psychiatry Physician
  • North Providence, RI
National Provider Identifier
1003926452
Registry record updated Nov 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D000448 Issued in RI
Practice address
200 High Service Avenue
Marian Hall 1St Floor
North Providence, RI 02904
Phone
(401) 456-3649
Fax
(401) 752-8116
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 56954 MA
Psychiatry Physician 2084P0800X D000448 RI Primary

Addresses

Primary practice location

200 High Service Avenue
Marian Hall 1St Floor
North Providence, RI 02904

Mailing address

425 Lake Ave N
Ste 101
Worcester, MA 01605-2047
Phone (508) 753-3220

Other identifiers 4

IdentifierTypeStateIssuer
7004262MedicaidRI
305590OtherRIBLUE CROSS BLUE SHIELD
1502534OtherRIUNITED BEHAVORIAL HEALTH
400111OtherRIBLUE CHIP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110707000341 MA Practitioner - Psychiatry 5294868394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Psych Services LLCGroup PAC ID 2961667498, 19 clinicians

Practice addresses (Care Compare)

425 Lake Ave N
Suite 101
Worcester, MA 01605-2073
Phone (508) 753-3220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
D000448RIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psych Services, LLC Psychiatry CurrentSince May 1, 2012 Accepting new patients
Steward St. Anne'S Hospital Corporation Psychiatry Past Accepting new patients
Island Counseling Center, P.C. Psychiatry Past Accepting new patients

Locations

425 Lake Ave N
Ste 101
Worcester, MA 01605
Phone (508) 753-3220

Interoperability endpoints

  • Direct secure messaging: ronald.gobeil@iccworcester.direct.emds.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574985600000",
    "number": "1003926452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 LAKE AVE N",
            "address_2": "STE 101",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052047",
            "telephone_number": "508-753-3220",
            "fax_number": "508-753-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HIGH SERVICE AVENUE",
            "address_2": "MARIAN HALL 1ST FLOOR",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "02904",
            "telephone_number": "401-456-3649",
            "fax_number": "401-752-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBEIL",
        "first_name": "RONALD",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2019-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "56954",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "D000448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004262",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "305590",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVORIAL HEALTH",
            "identifier": "1502534",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "400111",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Providence, RI

Sources for this page

Verify at the official NPI Registry.