Active NPI
Jeremy May, MASTERS, LMFT
- Marriage & Family Therapist
- Cranston, RI
National Provider Identifier
1033412507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT00155
- Practice address
- 1471 Elmwood Ave
Cranston, RI 02910-3849 - Phone
- (401) 490-7320
- Fax
- (401) 808-8685
- NPI assigned
- Dec 6, 2010
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Marriage & Family Therapist | 106H00000X | MFT00155 | RI | Primary |
Addresses
Primary practice location
1471 Elmwood Ave
Cranston, RI 02910-3849
Mailing address
1471 Elmwood Ave
Cranston, RI 02910-3849
Phone (401) 490-7320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GH57134 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT00155 | RI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Healthcare Inc | Past | Accepting new patients |
Organizations & group practices 1
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)
- Pawtucket, RI
- NPI 1821078932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433116800000",
"number": "1033412507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1471 ELMWOOD AVE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029103849",
"telephone_number": "401-490-7320",
"fax_number": "401-808-8685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1471 ELMWOOD AVE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029103849",
"telephone_number": "401-490-7320",
"fax_number": "401-808-8685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAY",
"first_name": "JEREMY",
"credential": "MASTERS, LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-06",
"last_updated": "2015-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "RI",
"license": "MFT00155",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GH57134",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cranston, RI
- Maxi Drug South LP (Rite Aid Pharmacy 10263)
- Maxi Drug South LP (Rite Aid Pharmacy 10261)
- Maxi Drug South LP (Rite Aid Pharmacy 06595)
- Julie Maxwell, MSOT
- Catherine Margaret May, MSN
- Gloria Mary Mazza, NP-C
- Matthew R McAllister, C.PED
- McArdle Chiropractic and Wellness Center, LLC
- McArdle Chiropractic and Wellness Center,LLC
- Adam Leonard McAteer, DPM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.