Organization Active NPI

C & C Psychiatry LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fall River, MA
National Provider Identifier
1104480243
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Apr 24, 2019

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

Authorized official

Name
Ms. Karen Cadwalader, APRNNPI 1295765899
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.