Organization Active NPI

Parent Support Network of Rhode Island

  • Peer Specialist
  • Warwick, RI
National Provider Identifier
1073076121
Registry record updated Apr 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
PARENT SUPPORT NETWORK OF RHODE ISLAND
Practice address
535 Centerville Rd Ste 202
Warwick, RI 02886-4376
Phone
(401) 467-6855
NPI assigned
Apr 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2019

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

Authorized official

Name
Lisa A Conlan
Title
Executive Director
Phone
(401) 467-6855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X Primary

Addresses

Primary practice location

535 Centerville Rd Ste 202
Warwick, RI 02886-4376

Mailing address

535 Centerville Rd Ste 202
Warwick, RI 02886-4376
Phone (401) 467-6855

National Provider Directory

National Provider Directory

Locations

535 Centerville Rd
Ste 202
Warwick, RI 02886
Phone (401) 467-6855

NPI Registry JSON

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

{
    "created_epoch": "1554595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554595200000",
    "number": "1073076121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 CENTERVILLE RD STE 202",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864376",
            "telephone_number": "401-467-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 CENTERVILLE RD STE 202",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864376",
            "telephone_number": "401-467-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARENT SUPPORT NETWORK OF RHODE ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-07",
        "last_updated": "2019-04-07",
        "status": "A",
        "authorized_official_last_name": "CONLAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "401-467-6855"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2019; 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.