Organization Active NPI

Undividual Inc

  • Community/Behavioral Health Agency
  • Providence, RI
National Provider Identifier
1235307398
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
00116 Issued in RI
Legal business name
UNDIVIDUAL INC
Practice address
144 Waterman St Ste 1
Providence, RI 02906-2126
Phone
(401) 578-8775
Fax
(401) 533-9532
NPI assigned
Feb 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Authorized official

Name
Maureeen Ann Walsh, MA, MSW, LMHC
Title
President
Phone
(401) 578-8775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 00116 RI Primary

Addresses

Primary practice location

144 Waterman St Ste 1
Providence, RI 02906-2126

Mailing address

1 Richmond SQ
Suite 103K
Providence, RI 02906-5139
Phone (401) 274-8472

National Provider Directory

National Provider Directory

Locations

144 Waterman St
Ste 1
Providence, RI 02906
Phone (401) 228-7702

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1235307398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RICHMOND SQ",
            "address_2": "SUITE 103K",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065139",
            "telephone_number": "401-274-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 WATERMAN ST STE 1",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062126",
            "telephone_number": "401-578-8775",
            "fax_number": "401-533-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDIVIDUAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "MAUREEEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-578-8775",
        "authorized_official_credential": "MA, MSW, LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "RI",
            "license": "00116",
            "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 Feb 11, 2022; 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.