Active NPI
C & C Psychiatry LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fall River, MA
National Provider Identifier
1104480243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- C & C PSYCHIATRY LLC
- Practice address
- 10 Purchase St Ste 301
Fall River, MA 02720-3100 - Phone
- (774) 644-2254
- NPI assigned
- Apr 24, 2019
- 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
- Ms. Karen Cadwalader, APRN
- Title
- Owner
- Phone
- (774) 644-2254
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
10 Purchase St Ste 301
Fall River, MA 02720-3100
Mailing address
87 Kay St
Newport, RI 02840-2843
Phone (774) 644-2254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191007002951 | MA | Part B Supplier - Clinic/Group Practice | 5698006575 |
Receives reassigned benefits from 1 practitioner Practice locations: Fall River, MA |
National Provider Directory
National Provider DirectoryLocations
145 Globe St
#1B
Fall River, MA 02724
Phone (508) 801-9353
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Registered Nurse
- Newport, RI
- NPI 1295765899
MA
-
- Clinical Social Worker
- Fall River, MA
- NPI 1790053759
-
- Counselor
- Fall River, MA
- NPI 1982628822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1556064000000",
"number": "1104480243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 KAY ST",
"city": "NEWPORT",
"state": "RI",
"postal_code": "028402843",
"telephone_number": "774-644-2254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 PURCHASE ST STE 301",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027203100",
"telephone_number": "774-644-2254"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C & C PSYCHIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-24",
"last_updated": "2019-04-24",
"status": "A",
"authorized_official_last_name": "CADWALADER",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "774-644-2254",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.