Island Light Psychotherapy, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ISLAND LIGHT PSYCHOTHERAPY, LLC

Practice address

11 King Charles Dr Ste a
Portsmouth, RI 02871-1364

Phone

(306) 070-3153

NPI assigned

May 14, 2020

Last updated

May 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emily Allerton

Title

Owner

Phone

(330) 607-0315

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emily M Wygant, LMHC

  • Mental Health Counselor
  • Middletown, RI
  • NPI 1326405556
  NPD

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1508488305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 KING CHARLES DR STE A",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028711364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 KING CHARLES DR STE A",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028711364",
            "telephone_number": "306-070-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND LIGHT PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "ALLERTON",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-607-0315"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela Hanrahan, M.S. CCC-SLP
• Krista Haskell, LICSW
• Janice Ruth Hawthorne, MPH OTR/L
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• Eleanor T Howard, LICSW
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• Robert Janik, PHARMD
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• Jocelyn Arruda
• Eric Martin Johnsen, D.M.D.

• Community/Behavioral Health Agency in Portsmouth, RI
• Providers in Portsmouth, RI by specialty
• Community/Behavioral Health Agency in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.