Organization Active NPI

Envision Behavioral Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Providence, RI
National Provider Identifier
1245991124
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ENVISION BEHAVIORAL HEALTH LLC
Doing business as
Envision Behavioral Health
Practice address
2 Richmond SQ Ste 205
Providence, RI 02906-5135
Phone
(401) 203-5886
NPI assigned
Jan 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Authorized official

Name
Nicholas Ferro, LICSW
Title
Manager
Phone
(401) 203-5886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2 Richmond SQ Ste 205
Providence, RI 02906-5135

Mailing address

2 Richmond SQ Ste 205
Providence, RI 02906-5135
Phone (401) 203-5886

Other names 1

  • Envision Behavioral Health Doing business as

National Provider Directory

National Provider Directory

Locations

2 Richmond Sq
Ste 205
Providence, RI 02906
Phone (401) 203-5886

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1245991124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 RICHMOND SQ STE 205",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065135",
            "telephone_number": "401-203-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 RICHMOND SQ STE 205",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065135",
            "telephone_number": "401-203-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "FERRO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "401-203-5886",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Envision Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 4, 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.