Washington Park Citizens Association, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

43530 Issued in RI

Legal business name

WASHINGTON PARK CITIZENS ASSOCIATION, INC.

Doing business as

Washington Park Children's Shelter

Practice address

1279 Broad St
Providence, RI 02905-2935

Phone

(401) 461-6650

Fax

(401) 781-5262

NPI assigned

Mar 9, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Frances P Murphy

Title

Executive Director

Phone

(401) 461-6650

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Washington Park Children's Shelter Doing business as

Locations

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245362185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 JILLSON ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029052904",
            "telephone_number": "401-461-6650",
            "fax_number": "401-781-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1279 BROAD ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029052935",
            "telephone_number": "401-461-6650",
            "fax_number": "401-781-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON PARK CITIZENS ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "401-461-6650",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "RI",
            "license": "43530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENTIAL CHILD SHEL",
            "identifier": "WP03247",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Park Children's Shelter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alicia Lynn Warnock, M.D.
• Otis Upson Warren, M.D.
• Scott Warren, MD/PHD
• Sarita S. Warrier, M.D.
• Ruth J Wartenberg, LICSW
• Elisa Marie Wasilewski, PA-C
• Elizabeth Wassenaar, OD
• Meredith Caroline Wasserman, MD
• Courtney Wassmer
• Waterman Dental LLC

• Emotionally Disturbed Childrens' Residential Treatment Facility in Providence, RI
• Providers in Providence, RI by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.