Blackstone Valley Youth & Family Collaborative

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

BLACKSTONE VALLEY YOUTH & FAMILY COLLABORATIVE

Practice address

209 Cottage St
Pawtucket, RI 02860-3026

Phone

(401) 475-2121

Fax

(401) 475-2255

NPI assigned

Dec 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Daniel A Brito

Title

Executive Director

Phone

(401) 475-2121

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1295919900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 COTTAGE ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028603026",
            "telephone_number": "401-475-2121",
            "fax_number": "401-475-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 COTTAGE ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028603026",
            "telephone_number": "401-475-2121",
            "fax_number": "401-475-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKSTONE VALLEY YOUTH & FAMILY COLLABORATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2011-06-06",
        "status": "A",
        "authorized_official_last_name": "BRITO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "401-475-2121",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251FC00000X",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blackstone Valley Community Action Program, Inc.
• Blackstone Valley Community Health Care
• Blackstone Valley Community Health Care, Inc.
• Blackstone Valley Community Health Care, Inc.
• Blackstone Valley Foot and Ankle Inc.
• Pat Blais
• Ruben Blanco, OT
• Steven Blazar, MD
• Lianne Blinn, LICSW
• Alison Block, MD

• All providers in Pawtucket, RI
• 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 Jun 6, 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.