Organization Active NPI

Bethel Behavioral Associates, LLC

  • Case Management Agency
  • Pawtucket, RI
National Provider Identifier
1245115518
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
BETHEL BEHAVIORAL ASSOCIATES, LLC
Practice address
560 Mineral Spring Ave Apt 1123
Pawtucket, RI 02860-4276
Phone
(401) 398-9012
Fax
(401) 398-9012
NPI assigned
Aug 7, 2025
Last updated
Aug 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Authorized official

Name
Richard W Ngibuini, BCBA LBANPI 1053728758
Title
Chief Executive Officer
Phone
(401) 398-9012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

560 Mineral Spring Ave Apt 1123
Pawtucket, RI 02860-4276

Mailing address

560 Mineral Spring Ave Apt 1123
Pawtucket, RI 02860-4276
Phone (401) 398-9012

Other names 1

  • Bethel Behavioral Associates, LLC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1245115518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 MINERAL SPRING AVE APT 1123",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604276",
            "telephone_number": "401-398-9012",
            "fax_number": "401-398-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 MINERAL SPRING AVE APT 1123",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604276",
            "telephone_number": "401-398-9012",
            "fax_number": "401-398-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL BEHAVIORAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "NGIBUINI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "401-398-9012",
        "authorized_official_credential": "BCBA LBA"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethel Behavioral Associates, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Bethel Behavioral Associates, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 25, 2025; 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.