Family Connections

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

MHC00333 Issued in RI

Legal business name

FAMILY CONNECTIONS

Practice address

27 Burgate St
Chepachet, RI 02814-2303

Phone

(401) 481-3746

NPI assigned

Mar 31, 2008

Last updated

Mar 31, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kelly M Ryan, MA, LMHC

Title

Clinician

Phone

(401) 481-3746

Specialties & licenses 1

Addresses

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.

• Kelly McCabe Waldron, MA, CAGS, LMHC

  • Mental Health Counselor
  • Coventry, RI
  • NPI 1700091287
  NPD (past)

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1083886022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BURGATE ST",
            "city": "CHEPACHET",
            "state": "RI",
            "postal_code": "028142303",
            "telephone_number": "401-481-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 BURGATE ST",
            "city": "CHEPACHET",
            "state": "RI",
            "postal_code": "028142303",
            "telephone_number": "401-481-3746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CONNECTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "401-481-3746",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "RI",
            "license": "MHC00333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Bickford Decourcy, RPH
• Cherie A Defusco, RN
• Joseph Desrosiers II, PA-C
• Stacey Dyer, LMT
• Evergreen Family Chiropractic, LLC
• Samantha K Febus
• Sara Gedeon, RPH
• Adele Ruth Geringer, COMS MSW
• Glocester Family Chiropractic, Inc
• Andrew N Goins, M.A.

• Adolescent and Children Mental Health Clinic/Center in Chepachet, RI
• Providers in Chepachet, RI by specialty
• Adolescent and Children Mental Health Clinic/Center in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.