Organization Active NPI

Gladys V Rezendes Inc.

  • Mental Health Counselor
  • Providence, RI
National Provider Identifier
1124321104
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
ISW00425 Issued in RI
Legal business name
GLADYS V REZENDES INC.
Practice address
390 Broadway
Providence, RI 02909
Phone
(401) 621-5882
Fax
(401) 621-8463
NPI assigned
Dec 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Authorized official

Name
Gladys V Rezendes, MSW, LICSW
Title
President
Phone
(401) 621-5882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X ISW00425 RI Primary

Addresses

Primary practice location

390 Broadway
Providence, RI 02909

Mailing address

390 Broadway
Providence, RI 02909
Phone (401) 621-5882

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1124321104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 BROADWAY",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02909",
            "telephone_number": "401-621-5882",
            "fax_number": "401-621-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 BROADWAY",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02909",
            "telephone_number": "401-621-5882",
            "fax_number": "401-621-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADYS V REZENDES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "REZENDES",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-621-5882",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "ISW00425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.