Organization Active NPI

Cynthia M Barte Licsw, LCDP, LLC

  • Community/Behavioral Health Agency
  • Pawtucket, RI
National Provider Identifier
1023343886
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CYNTHIA M BARTE LICSW, LCDP, LLC
Practice address
100 Lafayette St
Suite 206
Pawtucket, RI 02860-6008
Phone
(401) 965-6699
Fax
(401) 568-9050
NPI assigned
Oct 13, 2009
Last updated
Jan 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Authorized official

Name
Cynthia M Barte, LICSW, LCDPNPI 1598780793
Title
Solo Practionier
Phone
(401) 965-6699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

100 Lafayette St
Suite 206
Pawtucket, RI 02860-6008

Mailing address

100 Lafayette St
Suite206
Pawtucket, RI 02860-6008
Phone (401) 965-6699

Other identifiers 7

IdentifierTypeStateIssuer
1083620OtherRIBEACON HEALTH
CL34200MedicaidRI
410128OtherRIBLUE CHIP
11484211OtherCAQH
297365198OtherRIUNITED HEALTH
1598780793OtherINDIVIDUAL NPI
30092-HOtherRIBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

100 Lafayette St
Ste 206
Pawtucket, RI 02860
Phone (401) 965-6699

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1023343886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LAFAYETTE ST",
            "address_2": "SUITE206",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028606008",
            "telephone_number": "401-965-6699",
            "fax_number": "401-568-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LAFAYETTE ST",
            "address_2": "SUITE 206",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028606008",
            "telephone_number": "401-965-6699",
            "fax_number": "401-568-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA M BARTE LICSW, LCDP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "BARTE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLO PRACTIONIER",
        "authorized_official_telephone_number": "401-965-6699",
        "authorized_official_credential": "LICSW, LCDP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH",
            "identifier": "1083620",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CL34200",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "410128",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11484211",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "297365198",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1598780793",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "30092-H",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.