Active NPI
Kathleen Garlick, PC
- Addiction (Substance Use Disorder) Counselor
- Charlestown, RI
National Provider Identifier
1295991586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDP00708
- Practice address
- 4705 Old Post Rd
Charlestown, RI 02813-1819 - Phone
- (401) 364-7705
- Fax
- (401) 783-2558
- NPI assigned
- Aug 6, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDP00708 | RI | Primary |
Addresses
Primary practice location
4705 Old Post Rd
Charlestown, RI 02813-1819
Mailing address
1157 South Rd
Wakefield, RI 02879-7633
Phone (401) 789-1367
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1020890 | Other | RI | NHP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDP00708 | RI | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508976000000",
"number": "1295991586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1157 SOUTH RD",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028797633",
"telephone_number": "401-789-1367",
"fax_number": "401-783-2558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4705 OLD POST RD",
"city": "CHARLESTOWN",
"state": "RI",
"postal_code": "028131819",
"telephone_number": "401-364-7705",
"fax_number": "401-783-2558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARLICK",
"first_name": "KATHLEEN",
"credential": "PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-06",
"last_updated": "2017-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "RI",
"license": "CDP00708",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "1020890",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlestown, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.