Providence Integrative Wellness

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PROVIDENCE INTEGRATIVE WELLNESS

Practice address

182 Gano St
Providence, RI 02906

Phone

(401) 688-2782

Fax

(401) 861-1055

NPI assigned

May 21, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Julien D. Ginsberg-Seltz, MD

Title

President

Phone

(401) 688-2782

Specialties & licenses 2

Addresses

Practitioners 2

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

• Mark Robert Brody, M.D.

  • Public Health & General Preventive Medicine Physician
  • Providence, RI
  • NPI 1215031661
  NPD (past)
• John Dermott McGonigle, M.D.

  • Family Medicine Physician
  • East Providence, RI
  • NPI 1982717807
  NPD (past)

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1609001585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 GANO STREET",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02906",
            "telephone_number": "401-688-2782",
            "fax_number": "401-861-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 GANO ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02906",
            "telephone_number": "401-688-2782",
            "fax_number": "401-861-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE INTEGRATIVE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "GINSBERG-SELTZ",
        "authorized_official_first_name": "JULIEN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-688-2782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Providence Community Acupuncture, LLC
• Providence Dental Group, LLC
• Providence Dental PC
• Providence Dental Sleep Center LLC
• Providence Eye Associates, Inc.
• Providence Interventional Associates II LLC
• Providence Interventional Associates II LLC
• Providence Medical Healthcare Center
• Providence Medical Supplies
• Providence Metro Treatment Center

• Pediatrics Physician in Providence, RI
• Providers in Providence, RI by specialty
• Pediatrics Physician in Rhode Island

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