Om Therapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW02064 Issued in RI

Legal business name

OM THERAPY

Doing business as

East Coast Mental Wellness

Practice address

1 Richmond SQ Ste 350W
Providence, RI 02906-5165

Phone

(401) 227-0372

Fax

(877) 455-9466

NPI assigned

Jul 12, 2016

Organization subpart

No

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

Authorized official

Name

Melissa Dasilva, LICSWNPI 1164690608

Title

Owner

Phone

(401) 497-8873

Specialties & licenses 1

Addresses

Other names 1

• East Coast Mental Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa R Dasilva, LICSW

  • Clinical Social Worker
  • Providence, RI
  • NPI 1164690608
  Medicare reassignment NPD Authorized official
• Kimberly Gail Carmichael, LMHC

  • Marriage & Family Therapist
  • Providence, RI
  • NPI 1891523668
  Medicare reassignment NPD (past)
• Lisa Slawsby

  • Mental Health Counselor
  • Providence, RI
  • NPI 1487321048
  Medicare reassignment
• Anthony M Costagliola, LICSW

  • Clinical Social Worker
  • Providence, RI
  • NPI 1295382737
  NPD (past)
• Michael D. Macedo, LICSW

  • Clinical Social Worker
  • Warwick, RI
  • NPI 1578005625
  NPD (past)

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1336591494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RICHMOND SQ STE 350W",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065165",
            "telephone_number": "401-227-0372",
            "fax_number": "877-455-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RICHMOND SQ STE 350W",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065165",
            "telephone_number": "401-227-0372",
            "fax_number": "877-455-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OM THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "DASILVA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-497-8873",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Coast Mental Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Ann Olson, DPT
• Adam Jan Olszewski, M.D.
• Olurotimi I Olugbode
• Aminat Olupona
• Oyinlola J Oluwo
• Abdifatah Omar, MD
• Mohamed Salah Omer, MD
• Adewale S Omoniyi, NURSE
• Sydney C Ondrasik, PA-C
• One Step at a Time Counseling LLC

• Clinical Social Worker in Providence, RI
• Providers in Providence, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.