The Genesis Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE GENESIS CENTER

Practice address

620 Potters Ave
Providence, RI 02907-2931

Phone

(401) 781-6110

Fax

(401) 461-8788

NPI assigned

May 24, 2011

Organization subpart

No

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

Authorized official

Name

Miss Pheamo R. Witcher, MCP

Title

President/Ceo

Phone

(401) 781-6110

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1295028272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 POTTERS AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029072931",
            "telephone_number": "401-781-6110",
            "fax_number": "401-461-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 POTTERS AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029072931",
            "telephone_number": "401-781-6110",
            "fax_number": "401-461-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GENESIS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "WITCHER",
        "authorized_official_first_name": "PHEAMO",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "401-781-6110",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MCP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.