NPIMap

Organization Active NPI

United Cerebral Palsy of Rhode Island, Inc.

  • Community/Behavioral Health Agency
  • Pawtucket, RI
National Provider Identifier
1215060850
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
UNITED CEREBRAL PALSY OF RHODE ISLAND, INC.
Practice address
200 Main St
Suite 210
Pawtucket, RI 02860-4119
Phone
(401) 728-1800
Fax
(401) 728-0182
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Authorized official

Name
Mr. Karl P Provost
Title
Director of Finance, Cfo
Phone
(401) 728-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X RI Primary

Addresses

Primary practice location

200 Main St
Suite 210
Pawtucket, RI 02860-4119

Mailing address

200 Main St
Suite 210
Pawtucket, RI 02860-4119
Phone (401) 728-1800

Other identifiers 2

IdentifierTypeStateIssuer
UC54151OtherRIDCYF FUNDING
1082590OtherRINEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND

National Provider Directory

National Provider Directory
Tax ID family
United Cerebral Palsy of Rhode Island7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1215060850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MAIN ST",
            "address_2": "SUITE 210",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604119",
            "telephone_number": "401-728-1800",
            "fax_number": "401-728-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAIN ST",
            "address_2": "SUITE 210",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604119",
            "telephone_number": "401-728-1800",
            "fax_number": "401-728-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CEREBRAL PALSY OF RHODE ISLAND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "PROVOST",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE, CFO",
        "authorized_official_telephone_number": "401-728-1800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "RI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCYF FUNDING",
            "identifier": "UC54151",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND",
            "identifier": "1082590",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.