Individual provider Active NPI

Reema Husain, M.D.

  • Psychiatry Physician
  • Providence, RI
National Provider Identifier
1104983428
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD12168 Issued in RI
Practice address
530 N Main St
Providence, RI 02904-5762
Phone
(401) 274-2500
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X MD12168 RI
Psychiatry Physician 2084P0800X MD12168 RI Primary

Addresses

Primary practice location

530 N Main St
Providence, RI 02904-5762

Mailing address

254 Wayland Ave Apt 3
Providence, RI 02906-4554

Other identifiers 5

IdentifierTypeStateIssuer
1104983MedicaidRI
1104983428OtherRIUBH
1104983428OtherRIBLUE CROSS
1104847946OtherRITHE PROVIDENCE CENTER NPI
1104983428OtherRIBLUE CHIP

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070614000491 RI Practitioner - Psychiatry 5092813055 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians

Practice addresses (Care Compare)

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Alliance CurrentSince Nov 20, 2014 Accepting new patients
The Providence Center Inc Psychiatry CurrentSince Nov 1, 2022 Accepting new patients
Affinity Physicians LLC. Psychiatry CurrentSince Jul 1, 2016 Accepting new patients
Affinity Physicians LLC CurrentSince Jul 1, 2016 Accepting new patients
St. Joseph Health Services of Rhode Island Past Accepting new patients
St. Joseph Health Services of Rhode Island Psychiatry Past Accepting new patients
Medoptions Behavioral Health Assoc, LLC Psychiatry Past Accepting new patients
The Providence Center Psychiatry Past Accepting new patients

Locations

200 High Service Ave
#3
North Providence, RI 02904
Phone (401) 456-3649

200 High Service Ave
North Providence, RI 02904
Phone (401) 456-3000

345 Blackstone Blvd
Bldg 1ST
Providence, RI 02906
Phone (401) 277-9933

530 N Main St
Providence, RI 02904
Phone (401) 274-2500

528 N Main St
Providence, RI 02904
Phone (401) 276-4020

345 Blackstone Blvd
Providence, RI 02906
Phone (401) 455-6375

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

171 Service Ave
Warwick, RI 02886
Phone (401) 222-9157

55 John a Cummings Way
Woonsocket, RI 02895
Phone (401) 766-3330

Interoperability endpoints

  • Direct secure messaging: rhusain@direct.carene.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238371200000",
    "number": "1104983428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 WAYLAND AVE APT 3",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064554"
        },
        {
            "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": "401-274-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSAIN",
        "first_name": "REEMA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2009-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "RI",
            "license": "MD12168",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "MD12168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104983",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "1104983428",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1104983428",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE PROVIDENCE CENTER NPI",
            "identifier": "1104847946",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "1104983428",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.