Active NPI
Omer Cermik, MD
- Psychiatry Physician
- Johnston, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD10213
- Practice address
- 1443 Hartford Ave
Johnston, RI 02919-3224 - Phone
- (401) 273-8100
- Fax
- (401) 861-8696
- NPI assigned
- Aug 1, 2006
- Last updated
- Mar 12, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD10213 | RI | Primary |
Addresses
Primary practice location
1443 Hartford Ave
Johnston, RI 02919-3224
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4541
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15-26435 | Other | RI | UBH |
| 22129-8 | Other | RI | BLUE CROSS |
| 406989 | Other | RI | BLUE CHIP |
| 007059462 | Other | RI | MEDICARE ID-TYPE UNSPECIFIED |
| 7007566 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1443 Hartford Ave
Johnston, RI 02919-3224
Phone (401) 273-8100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Alliance | Current | Accepting new patients | |
| Family Service of Rhode Island, Inc. | Current | Accepting new patients | |
| Gateway Healthcare Inc | Current | Accepting new patients | |
| The Providence Center | Psychiatry | Past | Accepting new patients |
| The Providence Center | Past | Accepting new patients | |
| Barreto & Schwartz Psychology Associates PC Inc | Past | Accepting new patients |
Locations
1516 Atwood Ave
Johnston, RI 02919
Phone (401) 463-8829
1 Virginia Ave
Ste 200
Providence, RI 02905
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
1443 Hartford Ave
Providence, RI 02919
Phone (401) 273-8100
55 Hope St
Providence, RI 02906
Phone (401) 519-2230
55 John a Cummings Way
Woonsocket, RI 02895
Phone (401) 235-7021
800 Clinton St
Woonsocket, RI 02895
Phone (401) 235-7469
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pawtucket, RI
- NPI 1821078932
-
- Community/Behavioral Health Agency
- Woonsocket, RI
- NPI 1437191061
-
- Adult Mental Health Clinic/Center
- Providence, RI
- NPI 1598833535
-
- Clinical Psychologist
- Cumberland, RI
- NPI 1780866707
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Providence, RI
- NPI 1609818210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741737600000",
"number": "1093721805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 ELLENFIELD ST STE 101",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029054541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1443 HARTFORD AVE",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "029193224",
"telephone_number": "401-273-8100",
"fax_number": "401-861-8696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERMIK",
"first_name": "OMER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "RI",
"license": "MD10213",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "15-26435",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "22129-8",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "406989",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID-TYPE UNSPECIFIED",
"identifier": "007059462",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7007566",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnston, RI
- Michael Ross Casey, PHARMD, CDOE
- Charlene Jablonski Cassese, RNP
- Stephanie Cassion
- Christopher J Castle, RN
- Center for Orthopedics Inc.
- Barbara Ann Chadwick, LCSW
- Chartercare Blackstone Surgery Center, LLC (Blackstone Valley Surgicare)
- Richard Chartier, LICSW
- Ashely Delnely Chavez
- Cheryl Chianese, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.