NPIMap

Organization Active NPI

Providence College Student Health Services

  • Health Service Clinic/Center
  • Providence, RI
National Provider Identifier
1558508598
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
NPP33985 Issued in RI
Legal business name
PROVIDENCE COLLEGE STUDENT HEALTH SERVICES
Practice address
549 River Ave
Providence, RI 02918-7000
Phone
(401) 865-2422
NPI assigned
Jan 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Authorized official

Name
Catherine Kelleher, RN
Title
Director of Health Services
Phone
(401) 865-2422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NPP33985 RI Primary

Addresses

Primary practice location

549 River Ave
Providence, RI 02918-7000

Mailing address

16 Victoria LN
Mansfield, MA 02048-1755

National Provider Directory

National Provider Directory

Locations

549 River Ave
Providence, RI 02918
Phone (401) 865-2260

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1558508598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 VICTORIA LN",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 RIVER AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029187000",
            "telephone_number": "401-865-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE COLLEGE STUDENT HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "KELLEHER",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH SERVICES",
        "authorized_official_telephone_number": "401-865-2422",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "RI",
            "license": "NPP33985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.