The Providence Center Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

THE PROVIDENCE CENTER INC

Practice address

530 N Main St
Providence, RI 02904-5762

Phone

(401) 528-0110

Fax

(401) 528-0188

NPI assigned

Jul 21, 2006

Last updated

Aug 21, 2026By 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

Dawn L Rodgers

Title

Manager Payer Enrollment

Phone

(401) 273-0641

Specialties & licenses 13

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 278

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.

• Catherine A'Vant-Fowler, LMHC, LCDP

  • Mental Health Counselor
  • Providence, RI
  • NPI 1265446264

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD
• Kyle Aileru, LCSW

  • Social Worker
  • Providence, RI
  • NPI 1396467643
  Medicare reassignment Care Compare group NPD
• Mary Allard, LICSW

  • Clinical Social Worker
  • Providence, RI
  • NPI 1396773792
  Medicare reassignment Care Compare group NPD
• Kristen Andriole, MSW, LCSW

  • Clinical Social Worker
  • Providence, RI
  • NPI 1467852335

  Counselor

  Medicare reassignment Care Compare group NPD
• Grace Batista, LICSW, LCDP

  • Clinical Social Worker
  • Providence, RI
  • NPI 1093732174

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD
• Erik Borodemos, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Providence, RI
  • NPI 1750036471

  Registered Nurse

  Medicare reassignment Care Compare group NPD
• Sajid M Choudhry, M.D.

  • Psychiatry Physician
  • Providence, RI
  • NPI 1992749436
  Medicare reassignment Care Compare group NPD
• Estefania Clavijo, LCSW

  • Social Worker
  • Providence, RI
  • NPI 1376150417

  Mental Health

  Medicare reassignment Care Compare group NPD
• Milagros Cruz, LCSW

  • Social Worker
  • Providence, RI
  • NPI 1336166412
  Medicare reassignment Care Compare group NPD
• Linda Dewey, LMHC

  • Mental Health Counselor
  • Providence, RI
  • NPI 1851673925
  Medicare reassignment Care Compare group NPD
• Michelle Eche, LCSW

  • Social Worker
  • Providence, RI
  • NPI 1104491034

  Counselor

  Medicare reassignment Care Compare group NPD
• Laurel Falces, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Providence, RI
  • NPI 1508562984
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1104847946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 SERVICE AVE",
            "address_2": "BLDG 2 FLOOR 2",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861015",
            "telephone_number": "401-273-0641",
            "fax_number": "401-273-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045762",
            "telephone_number": "401-528-0110",
            "fax_number": "401-528-0188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 Blackstone Blvd",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029064800",
            "country_code": "US",
            "telephone_number": "401-455-6528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "174 Armistice Blvd",
            "address_purpose": "LOCATION",
            "city": "Pawtucket",
            "state": "RI",
            "postal_code": "028603280",
            "country_code": "US",
            "telephone_number": "401-721-5330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029062740",
            "country_code": "US",
            "telephone_number": "401-383-5051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "355 Prairie Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029051928",
            "country_code": "US",
            "telephone_number": "401-415-8844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Baker Pine Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "RI",
            "postal_code": "028981000",
            "country_code": "US",
            "telephone_number": "401-491-5909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 Hope St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029062532",
            "country_code": "US",
            "telephone_number": "401-274-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Howard Ave",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029203001",
            "country_code": "US",
            "telephone_number": "401-462-1020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE PROVIDENCE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER PAYER ENROLLMENT",
        "authorized_official_telephone_number": "401-273-0641"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207SG0205X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "RI",
            "license": "631",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC11826",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC02214",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCYF-MEDICAID",
            "identifier": "PC07340",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC02213",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Providence Center
• The Providence Center
• The Providence Center
• The Providence Center
• The Providence Center
• The Providence Community Health Centers Inc.
• The Providence Community Health Centers, Inc
• The Providence Community Health Centers, Inc
• The Providence Community Health Centers, Inc (Prairie Ave)
• The Providence Community Health Centers, Inc

• Mental Health Clinic/Center (Including Community Mental Health Center) in Providence, RI
• Providers in Providence, RI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.