Active NPI
Ronald C Gobeil, DO
- Psychiatry Physician
- North Providence, RI
National Provider Identifier
1003926452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D000448
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7004262 | Medicaid | RI | |
| 305590 | Other | RI | BLUE CROSS BLUE SHIELD |
| 1502534 | Other | RI | UNITED BEHAVORIAL HEALTH |
| 400111 | Other | RI | BLUE 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| D000448 | RI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Psych Services, LLC | Psychiatry | Current | 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
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Worcester, MA
- NPI 1750648689
Psychiatry
-
- Psychiatry Physician
- Nantucket, MA
- NPI 1861643983
-
- General Acute Care Hospital
- Fall River, MA
- NPI 1295027134
Psychiatry
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.