NPIMap

Organization Active NPI

MPCH

  • Exclusive Provider Organization
  • Providence, RI
National Provider Identifier
1184010118
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
RN2269378 Issued in MA
Legal business name
MPCH
Practice address
149 Pomona Ave
Providence, RI 02908-5123
Phone
(978) 425-4341
NPI assigned
Apr 7, 2015
Organization subpart
Yes
Parent organization
MHM HEALTH PROFESSIONAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Authorized official

Name
Thomas Groblewski, DO
Title
Statewide Medical Director
Phone
(781) 706-1052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X RN2269378 MA Primary

Addresses

Primary practice location

149 Pomona Ave
Providence, RI 02908-5123

Mailing address

149 Pomona Ave
Providence, RI 02908-5123
Phone (978) 425-4341

National Provider Directory

National Provider Directory
Tax ID family
MHM Health Professionals Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1184010118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 POMONA AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029085123",
            "telephone_number": "978-425-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 POMONA AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029085123",
            "telephone_number": "978-425-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPCH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MHM HEALTH PROFESSIONAL INC",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "GROBLEWSKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "STATEWIDE MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "781-706-1052",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MA",
            "license": "RN2269378",
            "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 Apr 7, 2015; 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.