Active NPI
Paulmo Enterprises LLC
- Behavior Analyst
- Lincoln, RI
National Provider Identifier
1063106516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- PAULMO ENTERPRISES LLC
- Practice address
- 6 Blackstone Valley PL BLDG 7
Lincoln, RI 02865-1179 - Phone
- (504) 234-7369
- NPI assigned
- Jun 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Paul Moretti Jr.
- Title
- Ceo/Owner
- Phone
- (504) 234-7369
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Hearing and Speech Clinic/Center | 261QH0700X | |||
| Occupational Medicine Clinic/Center | 261QX0100X |
Addresses
Primary practice location
6 Blackstone Valley PL BLDG 7
Lincoln, RI 02865-1179
Mailing address
331 Jastram St
Providence, RI 02908-2119
Phone (504) 234-7369
Other names 1
- Success on the Spectrum Lincoln
National Provider Directory
National Provider DirectoryLocations
6 Blackstone Valley Pl
Bldg 7
Lincoln, RI 02865
Phone (504) 234-7369
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Warwick, RI
- NPI 1750682340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706659200000",
"number": "1063106516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 JASTRAM ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029082119",
"telephone_number": "504-234-7369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 BLACKSTONE VALLEY PL BLDG 7",
"city": "LINCOLN",
"state": "RI",
"postal_code": "028651179",
"telephone_number": "504-234-7369"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAULMO ENTERPRISES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-07",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A",
"authorized_official_last_name": "MORETTI",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "504-234-7369",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Success on the Spectrum Lincoln",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lincoln, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.