Organization Active NPI

Casey Family Services

  • Community/Behavioral Health Agency
  • Providence, RI
National Provider Identifier
1598898520
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
45665 Issued in RI
Legal business name
CASEY FAMILY SERVICES
Practice address
1268 Eddy St
Providence, RI 02905-4535
Phone
(401) 781-3669
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jaes R. Gannaway, MSW, JD
Title
Division Director
Phone
(401) 781-3669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 45665 RI Primary

Addresses

Primary practice location

1268 Eddy St
Providence, RI 02905-4535

Mailing address

1268 Eddy St
Providence, RI 02905-4535
Phone (401) 781-3669

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598898520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054535",
            "telephone_number": "401-781-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054535",
            "telephone_number": "401-781-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASEY FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GANNAWAY",
        "authorized_official_first_name": "JAES",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DIVISION DIRECTOR",
        "authorized_official_telephone_number": "401-781-3669",
        "authorized_official_credential": "MSW, JD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "RI",
            "license": "45665",
            "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 Aug 22, 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.